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乙骨骨折治疗失败的危险因素:系统性审查和元分析

Sina Esmaeili¹, Farhad Shaker¹, Amirhossein Ghaseminejad-Raeini¹

¹Orthopaedic Subspecialty Research Centre (OSRC), Sina University Hospital, Tehran University of Medical Sciences, Tehran, Iran.

BMC musculoskeletal disorders

|November 28, 2024

概括

高龄,女性性别,后壁干扰,骨/大腿部冲击和大腿部头部脱是导致需要全关节整形手术 (THA) 的骨骨折治疗失败的关键风险因素. 了解这些因素有助于患者咨询和手术规划.

科学领域:

整形外科手术整形外科手术
创伤管理创伤管理
关节整形术是指关节的整形术.

背景情况:

骨骨折是复杂的伤害,往往导致疼痛和残疾.
目前的管理包括非手术方法,固定和全关节整形术 (THA).
20-40%的接受开放降解内固定治疗 (ORIF) 的患者可能需要因创伤后关节炎而需要THA.

研究的目的:

系统地审查和识别导致骨骨折初始治疗失败的因素.
确定与随后需要全关节整形术 (THA) 转换相关的风险因素.

主要方法:

在PubMed,Scopus,Web of Science和Embase的系统文献搜索.
用Mantle-Haenszel方法和随机效应模型对异质数据进行元分析.
数据提取和质量评估由两个独立审查员进行.

主要成果:

晚年 (SMD=0.43),女性性别 (OR=1.65),后壁卷入 (OR=1.81),骨损伤 (OR=3.23),大腿部损伤 (OR=6.08) 和大腿部头部脱 (OR=3.94) 是THA转换的重要危险因素.
相关的骨折类型没有显示出与THA转化风险的显著联系.
分析包括25项相关研究.

结论:

识别这些风险因素对于调整患者对潜在未来THA的期望至关重要.
患有已确定的风险因素的患者可能会从经验丰富的外科医生的治疗中受益.
积极的管理和知情同意对于患有骨骨折的患者至关重要.

关键词:

乙细胞的活性.骨折骨折骨折骨折是一种开放式减少和内部固定,全关节整形术.风险因素风险因素风险因素治疗失败的原因是治疗失败.

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