在成年人中用压缩板固定治疗的双骨前臂轴骨折:对不良事件和结果的系统性审查
Henri Vasara1,2, Antti Stenroos2,3, Samuli Aspinen2,4
1Department of Surgery, Central Finland Hospital Nova, Jyväskylä, Finland.
JB & JS open access
|November 27, 2024
概括
在用压缩板治疗的成年人中,双骨前臂轴骨折 (BBFF) 的不良事件发生率为24%,包括神经损伤和失联. 长期的结果通常是好的,但可能涉及一些持续的残疾.
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
- 基于证据的医学是基于证据的医学.
背景情况:
- 在成年人中,双骨前臂轴骨折 (BBFF) 与不良事件 (AE) 的显著风险有关.
- 现有文献显示,BBFF报告的AE发病率存在相当大的差异.
- 压缩板固定是成年BBFF的常见治疗方法.
研究的目的:
- 系统地审查成年BBFF用压缩板固定处理的文献.
- 评估术后不良事件 (AE) 的发生率.
- 为了评估患者在治疗后的长期结果.
主要方法:
- 来自PubMed数据库的研究的系统审查.
- 包括使用压缩板进行开放降低和内部固定的成年BBFF.
- 数据由两个独立的审核员提取,分歧由第三名审核员解决.
主要成果:
- 包括15项涉及944名患者的研究 (12项追溯,3项RCT).
- 整体AE发病率为24%,其中14%经历了重大AE.
- 最常见的副作用包括术后神经损伤 (7%) 和骨折非结合 (5%).
结论:
- 成年BBFF的压缩板固定具有相当大的AE风险 (24%).
- 平均术后结果通常是好的,但一定程度的残疾往往持续.
- 需要高质量的前性试验来优化前臂骨折治疗.
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