用开放式减少和内部固定 (ORIF) 治疗的辐射头部骨折的功能结果
Muhammad Mannan1,2,3, Muhammad A Hamid3, Nayan Shrivastava4
1Trauma and Orthopedics, Ghurki Trust and Teaching Hospital, Lahore, PAK.
Cureus
|December 31, 2024
概括
放射性头部骨折 (RHFs) 的开放减小和内部固定 (ORIF) 产生了有利的功能结果. 患有梅森型IIIRHF的患者在一年后表现出与II型骨折相当的结果.
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
- 肌肉骨研究 研究
背景情况:
- 辐射头部骨折 (RHFs) 是一个重要的骨科损伤.
- 开放式减小和内部固定 (ORIF) 是用于RHF的常见手术方法.
研究的目的:
- 评估使用ORIF治疗的Mason II和III型RHF的功能结果.
- 在12个月的术后期使用梅奥肘部表现得分 (MEPS) 评估结果.
主要方法:
- 在伯明翰心脏地带医院对44名RHF患者的回顾性研究.
- 从医疗记录中收集的数据,包括病史,成像和手术细节.
- 在基线,手术后6个月和12个月使用MEPS评估的功能结果.
主要成果:
- 患者平均年龄为42.55岁,72.7%为男性.
- 道路交通事故 (77.3%) 是骨折的主要原因.
- 在II型RHF的55.6%和III型RHF的58.8%观察到优异的结果; 37% (II型) 和35.3% (III型) 的良好结果.
结论:
- 对于RHF的ORIF显示了有利的整体结果.
- 孤立的梅森型IIIRHF的功能结果与手术后12个月的II型骨折相似.
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