关节内前下下脊椎突起与部不稳定:一个回顾性研究
Umesh Kumar Meena1, Bhagvan Prasad Meena1, Akib Nisar Sheikh1
1Dept. of Orthopedics, SMS Medical College, Jaipur, Rajasthan, India.
Journal of clinical orthopaedics and trauma
|November 6, 2024
概括
部脱的手术治疗与前下下脊椎 (AIIS) 脱骨折产生了有利的结果. 患者经历骨折愈合,并在手术后六个月内恢复到受伤前的活动水平.
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
- 运动医学运动医学
背景情况:
- 带有部脱位的内关节前下脊椎 (AIIS) 突破骨折是罕见的伤害.
- 医学文献中报道的病例很少,这凸显了进一步调查的必要性.
研究的目的:
- 介绍AIIS脱落骨折与部脱结合的手术治疗结果.
- 评估手术干预对这种特定伤害模式的临床和放射性结果.
主要方法:
- 对六例AIIS脱落骨折与部脱外科治疗的病例的回顾性分析.
- 在镇静下进行紧急部缩减,然后通过 iliofemoral 方法使用 4 毫米的穿孔螺丝进行开放式缩减和内部固定.
主要成果:
- 在平均50个月的随访后,所有骨折都愈合了.
- 四名患者的临床结果很好,两名患者的临床结果很好 (哈里斯部评分).
- 放射学评估显示,五名患者的结果很好,一个患者的结果很好 (马塔的评分).
结论:
- 在部不稳定的AIIS脱落骨折的手术固定导致了有利的中期结果.
- 临床和放射学评估都显示出良好到优秀的结果.
- 手术干预是管理这些复杂损伤的可行治疗选择.
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