支持带,可拆卸的 splint,或步行件的低风险脚骨折在儿童:一个可行性随机对照试验
Ben A Marson1,2,3, Matilda Gurney1,2, Joseph C Manning3,4
1Musculoskeletal, Surgery, Inflammation and Recovery Theme, NIHR Biomedical Research Centre, Nottingham, UK.
The bone & joint journal
|December 31, 2024
概括
这项研究发现,支持性带,可拆卸的子和步行件都能很好地耐受儿科低风险脚骨折,并患有类似的并发症率. 需要进一步的研究来确定这些常见的童年伤害的最佳治疗方法.
科学领域:
- 儿科整形外科 儿科整形外科
- 运动医学 运动医学
- 临床试验可行性临床试验可行性
背景情况:
- 低风险的脚骨折在儿童中很常见,但最佳治疗仍然不确定.
- 目前的治疗方案包括支持性带,可拆卸的子和行走件.
研究的目的:
- 评估一项随机对照试验的可行性,比较支持带,可拆卸的片和步行件用于儿科低风险脚骨折.
- 评估招聘,保留和收集数据,以便进行最终的试验.
主要方法:
- 一个可行性随机对照试验,涉及87名患有低风险脚骨折的儿童 (5-15岁).
- 参与者被随机分配到三个治疗组之一,持续两周.
- 随访发生在2,6和12周,收集有关并发症和患者报告结果的数据.
主要成果:
- 在六家医院实现了可接受的招聘和保留率.
- 在所有治疗组中,并发症是罕见的和相似的.
- 代理报告的PROMIS流动性得分显示出良好的响应能力.
结论:
- 这项研究表明了更大的随机对照试验的可行性.
- 支持性带,可拆卸的片和步行件在儿科低风险脚骨折中似乎同样安全和耐受.
- 并发症或治疗失败可以作为未来研究的有效初级结局.
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