侧柱中脚损伤:它们都需要固定吗?
Thomas R W Ward1, Khalis Boksh1, Grace Airey2,3
1Academic Team of Musculoskeletal Surgery, University Hospitals of Leicester NHS Trust, UK.
Journal of orthopaedics
|November 6, 2024
概括
中脚侧柱损伤很常见,并且经常与其他中脚损伤相关. 在大多数情况下,在中央柱稳定后,对侧柱进行额外的固定是不必要的,如果需要固定,则要使用板和螺丝,而不是Kirschner线.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 脚和脚手术 脚和脚手术
背景情况:
- 中脚损伤通常集中在中柱和里斯弗朗克带上,侧柱损伤的证据较少.
- 从历史上看,侧柱损伤的治疗方法是使用Kirschner电线固定.
研究的目的:
- 分析中脚侧柱损伤并评估它们的治疗方法.
- 调查侧侧柱损伤的不同固定技术的结果.
主要方法:
- 一项多中心观测研究追溯收集了2011-2021年手术治疗中脚骨折脱位的数据.
- 放射图用PACS进行分析,使用SPSS 26进行统计分析.
主要成果:
- 在409次中脚伤害中,235次涉及侧柱,通常涉及中央 (99.6%) 和中间 (70.6%) 柱.
- 大多数侧侧柱损伤 (63%) 不需要固定,对齐损失率低 (2.84%). 与板和螺丝相比,Kirschner电线固定显示出更高的对齐损失率 (5.88%).
- 中柱的桥似乎具有保护性,纯粹的带损伤比骨损伤的风险更高.
结论:
- 在这项研究中,侧柱损伤占中脚骨折的一半以上,通常与多柱损伤有关.
- 在中柱稳定后,对于侧柱损伤通常不需要额外的固定.
- 当需要侧列稳定时,板和螺丝可能比基尔施纳线提供更好的结果.
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