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关闭与开放的简单脚骨折模式需要软组织重建的临床结果:一个前性比较观察性研究

R Ahluwalia¹, T Lewis¹, Z Marhoon¹

¹Dept of Orthopaedics, Kings College Hospital MTC, King's College Hospital NHS Foundation Trust, London, United Kingdom.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

|January 4, 2025

概括

开放式脚骨折的单阶段治疗确保高肢挽救和与封闭骨折相比较的功能结果. 虽然住院时间较长,但感染和软组织并发症相似,需要进一步进行成本效益分析.

科学领域:

整形外科手术整形外科手术
创伤管理创伤管理
重建性手术是一种重建性手术.

背景情况:

当代的指导方针建议立即脱bridement,固定,和软组织重建开放骨折.
这项研究评估了单阶段稳定和立即软组织覆盖的开放脚骨折和关闭脚骨折.

研究的目的:

为了比较单阶段稳定和即时软组织覆盖在开放脚骨折和关闭脚骨折中的有效性.
评估临床结果,包括感染,截肢,修复手术,结合率和功能恢复.

主要方法:

一个回顾性比较27个开放的脚骨折 (OF) (Gustilo和安德森IIIB) 和35个关闭的脚骨折 (CF) (AO分类44A-C).
测量结果:感染,截肢,关,修复手术,恢复体重,MOXFQ,EQ-5D-5L分数和停留时间 (LOS).
进行了统计分析,P<0.05作为显著性水平.

主要成果:

两组都没有截肢;感染发生在3名OF患者和2名CF患者中.
在OF组中,不良结合和更长的离院时间增加了三倍 (P < 0.05).
重量恢复 (OF:10.6周,CF:7.2周) 和功能评分 (MOXFQ,EQ-5D-5L) 并没有显著差异. 平均LOS在OF (15.6天) 与CF (5.4天) (P <0.05) 中显著较长.

结论:

开放脚骨折的单阶段管理可以实现高肢节约和功能结果,与关闭骨折后的骨科治疗相美.
尽管长时间住院,软组织和感染性并发症在开放和关闭的脚骨折之间没有显著差异.
需要进一步的研究来确定这种单阶段方法对开放的脚骨折的长期成本效益影响.

关键词:

脚骨折脚骨折在脚骨折.立即固定立即固定开放式骨折是一个开放式的骨折.整形整形手术整形整形手术

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