内扣板在治疗不稳定的远端关节骨骨折方面表现出卓越的疗效
Xiaomin Wang1, Dawei Chen1, Li Li1
1Shanghai East Hospital (East Hospital Affiliated to Tongji University) Shanghai 200120, China.
American journal of translational research
|January 17, 2025
概括
与关节板相比,Endobutton板块在不稳定的远端关节骨骨折中提供了更好的结果. 患者在使用Endobuttons时经历了较少的疼痛和更好的肩部功能.
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
- 骨生物力学 骨生物力学
背景情况:
- 不稳定的远端关节骨骨折 (UDCFs) 是一个重大的临床挑战.
- 目前的治疗方案包括关节板和Endobutton板,报告的疗效不同.
研究的目的:
- 为了比较Endobutton板和关节板在治疗UDCF的临床有效性.
- 评估手术结果,患者康复,疼痛,功能和并发症的差异.
主要方法:
- 对95名患有Neer II和V UDCF的患者进行了回顾性分析.
- 55名用关节板治疗的患者和40名用Endobutton板治疗的患者之间的比较.
- 评估手术内,手术后,疼痛,功能,并发症和整体疗效指标.
主要成果:
- 结节板组的切口长度更短,骨折愈合时间更快 (P < 0.05).
- 在Endobutton组中,VAS疼痛得分明显较低,ASES功能得分更高 (P <0.05).
- 在并发症方面没有显著差异,但在Endobutton板上观察到更高的优秀/良好的治疗率 (P <0.05).
结论:
- 与关节板相比,Endobutton板显示了UDCF的优越临床结果.
- 优势包括改善术后恢复,增强疼痛管理和更好的功能恢复.
- 对于UDCFs,建议进行内结节固定.
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