皮肤上应用的中侧近亲叶板是否需要在肌下面?
Andrew T Chen1, Brad M Askam2, John S Hwang3
1Department of Orthopaedic Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
The Iowa orthopaedic journal
|January 15, 2025
概括
这项研究引入了一种新的技术来治疗双状小腿高原骨折. 通过皮肤将中间板放置在 pes anserinus肌上方,可能会降低复杂骨折中的深度感染率.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
- 骨的重建 骨的重建
背景情况:
- 双状小腿高原骨折由于软组织的损害,造成了外科手术的挑战.
- 目前的双法具有较高的深层感染率,尽管结果有所改善.
- 一种新的技术旨在通过穿皮的方式将中间板表面应用于 pes anserinus肌来减少并发症.
研究的目的:
- 评估一种新技术的早期结果,用于皮肤穿透的中间板应用在双状小腿高原骨折中.
- 为了评估安置介质板表面到 pes anserinus肌的安全性和有效性.
- 调查该技术对深部感染率和放射性结果的影响.
主要方法:
- 追溯审查24个双状骨平原骨折,用标准的侧面和皮肤穿的中间板 (2015-2017) 进行治疗.
- 使用AO/OTA标准分类的骨折;收集的人口统计数据,损伤特征和并发症.
- 主要结局:手术后的深层感染;次要结局:次要手术,运动范围和X射线对齐.
主要成果:
- 主要的骨折模式是AO/OTA 41-C3 (75%).
- 95%实现了≥90度的曲;保持了令人满意的冠状 (≤5°),斜 (≤5°) 和圆柱体宽度 (<5mm) 的对齐.
- 76%的人有令人满意的关节缩小 (≤2mm);观察到低的深部感染率 (一个持续的伤口排水,一个疑似感染在5年).
结论:
- 皮肤穿透的中间板表面应用到 pes anserinus肌是安全的选择双状小腿高原骨折.
- 这种技术可以保持骨折对齐和减少,同时潜在地最大限度地减少深层感染率.
- 早期的结果表明,这种方法为复杂的带高原骨折提供了可行的替代方案,具有受损软组织.
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