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对于急性远距离放射性骨头关节不稳定的综合管理方法远距离末端后半径骨折

Anteshwar Birajdar¹, Sushant Kumar¹, Mukesh Phalak¹

¹Dr. D. Y. Patil Medical Hospital and Research Centre, Pimpri Chinchwad, Pune, Maharashtra, India.

Journal of orthopaedic case reports

|January 13, 2025

概括

远距离放射性关节的不稳定性管理可能不需要三角纤维软骨复杂修复. K-wire稳定改善了运动范围,而造固定则增强了抓地力,尽管需要进一步的试验.

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
手术手术手术手术手术

背景情况:

遥远的放射性关节 (DRUJ) 对于前臂旋转至关重要,软组织提供了最大的稳定性.
脊椎损伤,通常是由于远半径骨折造成的,会带来复杂的管理挑战.
目前对DRUJ不稳定的治疗方法各不相同,特别是在带断裂后.

研究的目的:

为了评估和比较不同的管理策略,急性远距离射线关节不稳定后远距离半径骨折.
为了确定三角纤维软骨复合体 (TFCC) 修复与非手术或替代固定方法的疗效.

主要方法:

患有远端半径骨折和DRUJ不稳定的患者接受了初级骨折固定 (ORIF,CRIF或造).
随后的DRUJ稳定涉及造,使用K-电线进行封闭缩减内部固定 (CRIF) 或开放TFCC修复.
评估结果使用握力,运动范围 (屈曲,伸展,伸展,俯卧),DASH分数和MMWS分数来评估结果.

主要成果:

治疗组之间没有观察到握力或DASH分数的显著差异.
在各组之间注意到曲和延伸的显著变化 (P <0.05).
在MMWS得分中发现了显著的差异 (P <0.05),K线稳定显示出更好的运动范围,造固定产生更强的抓地力.

结论:

三角纤维软骨复杂修复可能不必管理急性DRUJ不稳定后远半径骨折,可能节省时间,精力和成本.
K-wire稳定在运动范围方面提供了优势,而造固定则提供了优越的抓地力.
需要进一步进行大规模的受控试验,以充分评估不同DRUJ稳定技术的患者满意度和功能结果.

关键词:

造造造造德鲁日不稳定性不稳定性在K-电线上.在TFCC修复维修.

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