关节骨骨折的外部固定与削减或在高度活跃的患者
Marios D Vekris1, Dimitrios V Papadopoulos2, Mantzila Elisavet3
1Department of Orthopaedics, University of Ioannina, Ioannina, Greece.
Journal of long-term effects of medical implants
|December 20, 2024
概括
外部固定为关节骨骨折提供了一种不那么侵入性的手术选择,使患者能够早期动员,并促进骨折结合,并发症最小. 这种方法对年轻,活跃的个体和那些有折断骨折的人特别有效.
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
背景情况:
- 关节骨骨折的保守治疗往往导致显著的疼痛和不适.
- 内部固定方法具有很高的非联合风险.
- 外部固定为早期动员提供了一个替代方案,而不会破坏软组织.
研究的目的:
- 评估外部固定治疗关节骨骨折的疗效.
- 评估骨折结合率,功能恢复和患者的结果.
主要方法:
- 对17名关节骨骨折患者进行了回顾性研究,这些患者接受了外部固定治疗.
- 手术后早期的肩部动员. 手术后的肩部动员.
- 骨折结合,疼痛 (VAS) 和功能残疾 (DASH) 的评价得分高达1年.
主要成果:
- 16名患者在8周和1名患者在10周成功结合骨折.
- 没有报告的术后感染或非联合.
- 在术后6周实现了全面的肩部运动范围.
- 平均DASH得分在6个月后为8分.
结论:
- 与内部固定相比,外部固定是一种不那么侵入性和更容易应用的外科稳定方法.
- 它促进了早期动员,并确保了骨折结合.
- 对于年轻,运动型,功能强的患者,以及患有碎骨折的人来说是有益的.
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