外囊骨折的固定失败的管理
Nicholas A Platt1, James Pegrum2, Hamish Macdonald1
1Trauma and Orthopaedics, Gloucestershire Royal Hospital, Gloucester, GBR.
Cureus
|November 11, 2024
概括
建议在关节骨折固定失败后进行关节置换手术,而不是修复固定手术,这表明重新手术的数量越来越少. 这种方法允许立即完全承受重量,这对于患有部骨折的老年患者至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
- 重建性手术是一种重建性手术.
背景情况:
- 外囊部骨折通常在固定后愈合,但有些病例由于植入物"切断"或非联合而失败.
- 如果固定不成功,就需要在修复手术或关节置换之间做出选择.
- 目前对这些选择进行比较的证据有限.
研究的目的:
- 为了比较修复固定与关节置换的结局,因为关节外囊骨折固定失败.
- 确定最优的治疗策略,以管理初始部骨折修复后的并发症.
主要方法:
- 在Medline (OvidSP) 上进行了系统的文献搜索.
- 纳入标准侧重于对60岁以上关节骨折固定失败的患者的关节置换与修复固定的比较研究.
- 由于有限的高质量研究,分析了前性收集的创伤数据库结果.
主要成果:
- 该研究分析了37名患者 (平均年龄81岁) 的关节骨折固定失败.
- 14名患者进行了修复固定,23名患者进行了关节置换 (全关节或关节整形手术).
- 随着关节更换,观察到较低的重新操作率趋势,特别是在一年后,尽管在统计学上并不显著 (p=0.233).
结论:
- 建议将关节置换作为失败的部外囊骨折固定的默认治疗方法,这是由于可能较低的重新手术率和即时的承重补贴.
- 对于选定的年轻患者或那些能够部分承受体重的患者,可以考虑修订固定.
- 需要进一步的研究来建立明确的证据,因为部骨折发生率在全球范围内不断上升.
关键词:
急性整部关节置换术脑髓的钉钉是脑髓的钉钉动态的部螺丝固定.额外囊关节骨折 额外囊关节骨折固定失败了 固定失败了部半关节整形手术 部半关节整形手术股骨的部骨折 骨折 部骨折开放式减速内部固定方式修订固定修订固定更多相关视频
04:19Minimally Invasive Treatment for Thoracolumbar Burst Fracture Using Sagittal Alignment Screws and A Trauma Reduction Device
Published on: November 8, 2024
358
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
18.3K
相关概念视频
01:27Fractures: Bone Repair
3.0K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
3.0K
01:26Flail Chest-II
160
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
160