常规的术后射线图是否会影响远距离半径骨折的管理,在锁板固定后?
Mohammed Tayyem1, Nizar Ismail1, Khaled F Al-Kharouf2
1Trauma and Orthopaedics, Buckinghamshire Healthcare NHS Trust, Aylesbury, GBR.
Cureus
|December 20, 2024
概括
远端半径骨折手术后的常规术后放射图对患者管理的影响有限. 减少它们的使用可以节省资源和辐射暴露,而不会影响对远半径骨折的护理.
科学领域:
- 整形外科手术 整形外科手术
- 放射学 放射学是一门学科.
- 卫生经济学 卫生经济学
背景情况:
- 距离半径骨折 (DRF) 是常见的需要手术干预的骨科损伤.
- 在DRF固定后,术后放射是标准的,但它们的必要性是有争议的.
- 评估常规射线图对DRF管理的影响至关重要.
研究的目的:
- 评估在使用飞行锁定板治疗的远半径骨折 (DRF) 管理中需要进行例行术后放射.
- 为了确定常规射线图是否会影响重新操作率或管理变化.
主要方法:
- 一个回顾性审查的176名患者接受开放的减少和内部固定DRFs与飞行锁定板.
- 收集的数据包括人口统计,骨折细节,术后成像发现和管理变化.
- 主要结果:基于新的放射性发现的重新操作率.
主要成果:
- 只有1%的患者需要重新手术,因为在例行术后放射图上发现的结果.
- 大约8%的患者发生了管理变化,例如长时间的模具固定.
- 大多数例行术后射线图显示没有显著的新发现影响护理.
结论:
- 用飞行锁定板治疗DRF的常规术后放射图对管理决策的影响最小.
- 过度使用这些放射图增加了医疗保健成本和辐射暴露.
- 建议采用个别案例的方法,考虑临床因素,以优化对远半径骨折的放射学使用.
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