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伊利扎罗夫与ORIF对开放的AO型C柱梁断裂进行了诉讼

Saeed A Shaikh¹, Dr Malik Osama Tanveer², Muhammad Tahir³

¹Dr. Saeed A Shaikh, FCPS, Department of Orthopaedics, Surgical Building, Jinnah Postgraduate Medical Centre, Rafiqui Shaheed Road, Karachi, Pakistan.

Pakistan journal of medical sciences

|November 18, 2024

概括

开放降解内部固定 (ORIF) 和伊利扎罗夫固定在12个月后显示了C型柱骨骨折的类似结果. 两种手术方法都没有提供优越的残疾状态,这表明患者因素是治疗决策的关键.

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
重建性手术是一种重建性手术.

背景情况:

支柱骨折,特别是C型骨折,是复杂的远部骨损伤,需要有效的管理.
开放降解内部固定 (ORIF) 和Ilizarov外部固定是常见的治疗方式.
评估这些方法的比较有效性对于优化患者的治疗结果至关重要.

研究的目的:

为了比较ORIF与Ilizarov固定对C型闭柱骨折的临床有效性.
评估患者报告的结果,包括残疾评级指数 (DRI),生活质量 (SF-12),以及12个月后的AOFAS得分.
评估放射性结果,如骨折愈合和错位等.

主要方法:

回顾性横截面研究,包括18岁以上的患有AO型C柱骨骨折的患者.
对15名ORIF治疗患者和26名Ilizarov固定治疗患者的结局进行比较.
主要结局:12个月后的DRI得分. 二次结果:SF-12,AOFAS分数,骨折愈合和不对齐.

主要成果:

12个月后ORIF和Ilizarov组之间的DRI得分没有统计学上显著的差异.
在两个治疗组之间,可比的临床结果和生活质量得分.
无计划外科手术的比例也相似 (26.92%是伊利扎罗夫 vs 33.33%是ORIF).

结论:

无论是ORIF还是Ilizarov固定,都没有在12个月后对于急性,移位,关节内远距离骨骨折表现出优越的残疾状态.
治疗决策应考虑个体患者的因素,以最佳管理柱骨折.
这两种手术技术在C型柱骨骨折的治疗中提供了相似的结果.

关键词:

在AOFAS-关节后脚得分.关节炎是一种关节炎.开放式骨折是一个开放式的骨折.疼痛疼痛疼痛疼痛柱柱骨折柱柱骨折柱柱骨折柱柱骨折

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