一个系统的审查后部柱子骨折的骨折
Joseph Boesel1, Dominique DiGiacomo1, Brett Hoffman1
1The University of Toledo College of Medicine and Life Sciences, USA.
Journal of orthopaedics
|February 25, 2025
概括
后柱骨折 (PPF) 是一个复杂的脚损伤. 本综述澄清了它们的定义,分类和外科手术方法,旨在改善患者在管理这些高能量骨折方面的结果.
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
- 放射学 放射学是一门学科.
背景情况:
- 后侧柱骨折 (PPF) 是关节内脚损伤,涉及后侧远部骨.
- 高能创伤机制,如跌倒或机动车辆事故,通常会导致PPF.
- 现有的文献缺乏对PPF定义,分类和手术管理的全面理解.
研究的目的:
- 综合当前关于后柱骨折的文献.
- 澄清PPF的定义,机制,分类系统和外科手术方法.
- 为改善这些复杂骨折的治疗结果提供见解.
主要方法:
- 在PubMed,MEDLINE,Embase和Web of Science上使用"后侧柱"和"手术方法"等关键词进行系统的文献搜索.
- 包括讨论PPF的回顾性和前性队列研究.
- 排除非英语论文,解剖学/生物力学研究,以及不关注PPF的研究;收集有关人口统计,并发症和功能结果的数据.
主要成果:
- 选择了18篇出版物,涉及959名患者 (430名男性,529名女性).
- PPF的特点是,由于旋转和轴承负荷造成的远距离骨关节表面冲击和骨/后部骨碎片的移位.
- 确定了五种分类系统;后侧 (PL) 手术方法 (34.9%) 比后中侧 (PM) 方法 (7.9% - 20.7%) 更常见.
结论:
- 后柱骨折需要精确的定义和分类,以便有效管理.
- 在当前的实践中,后侧外科手术方法似乎更受青.
- 常见的并发症包括恶性减少,神经损伤和术后疼痛,突出治疗改进的领域.
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