与骨头骨折的手术管理相关的并发症:系统性审查
Mikhail A Bethell1,2, Eoghan T Hurley1,2, Harvey Allen1,2
1Duke University School of Medicine, Durham, North Carolina.
JBJS reviews
|March 25, 2025
概括
平板固定 (PF) 显示,与螺丝固定相比,骨骨折的整体并发症较少,尽管它有更多的症状植入物. 张力带电线 (TBW) 的并发症概况比现代方法更糟糕.
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
- 外科手术的结果
背景情况:
- 大脑骨折是常见的肘部损伤,需要手术干预.
- 存在各种固定方法,包括板固定 (PF),螺丝固定和张力带电线 (TBW).
- 了解这些技术的并发症概况对于最佳的患者护理至关重要.
研究的目的:
- 系统地审查和评估手术并发症后的不同手术管理技术的骨头骨折.
- 为了比较与板固定,螺丝固定和张力带布线相关的并发症率.
主要方法:
- 在MEDLINE,Embase和Cochrane图书馆进行了全面的文献搜索.
- 包括报告经过骨折管理后并发症的研究,遵守PRISMA指南.
- 提取并分析了板固定,螺丝固定和张力带电线的复杂性数据.
主要成果:
- 分析了86项涉及5,161名患者的研究.
- 平板固定具有最低的整体并发症率 (12.6%),但需要移除的症状植入物的比例较高.
- 与PF相比,螺丝固定显示出更高的植入物并发症 (5.9%),但与PF相比,再操作和植入物切除率较低. 张力带电线的整体并发症率为18.4%.
结论:
- 平板固定提供比螺丝固定更低的整体并发症,但与增加的症状植入率和重新操作.
- 与现代固定技术相比,张力带电线具有不太有利的并发症概况.
- 需要进一步对螺丝和板固定之间的比较研究.
相关概念视频
01:27Fractures: Bone Repair
2.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
2.9K
01:19Bones of the Upper Limb: Humerus
2.8K
The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
2.8K
01:15Bones of the Upper Limb: Ulna
1.9K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
1.9K
01:17Chronic Bowel Disorders: Introduction
375
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
375
01:26Flail Chest-II
151
Managing flail chest, a condition characterized by a segment of the chest wall moving independently from the rest of the thoracic cage, requires a comprehensive approach. It includes a thorough assessment of the patient's condition, a diagnostic evaluation to determine the extent of the injury, and the implementation of appropriate medical interventions tailored to the individual's needs.
Assessment:
1. Clinical Evaluation:
History:
Assessment:
1. Clinical Evaluation:
History:
151
01:27Inflammatory Bowel Disease I: Ulcerative Colitis
108
Introduction
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
Inflammatory bowel disease, or IBD, encompasses a group of disorders characterized by chronic inflammation or ulceration of the gastrointestinal tract.
Risk Factors
The exact cause of IBD remains unclear, although it is believed to be due to a mix of genetic, environmental, microbial, and immune factors. Genetic factors are significant in determining susceptibility to IBD, with family history being a critical risk factor. Individuals with a first-degree relative who has IBD are at...
108