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[骨骨折手术的结果]

Marek Peml¹, Karel Holub¹, Martin Pompach²

¹Department of Trauma Surgery, Ceske Budejovice Hospital, a.s., Ceske Budejovice.

Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca

|March 27, 2025

概括

移位 navicular 骨折的手术治疗,包括开放的减少和内部固定,通常产生良好的结果. 然而,创伤后关节炎和疼痛仍然是一个重大问题,需要专门的护理和对相关损伤的彻底评估.

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
足部医学足部医学

背景情况:

如果不适当治疗,移位的 navicular 骨折可能会导致移动性问题,联合不良,非联合,骨关节炎和无血管缩.
移位 navicular 骨折往往需要手术干预,以恢复对齐和功能.

研究的目的:

为了评估手术治疗的 navicular 骨折的临床和放射性结果.
为了评估骨关节炎的发病率和手术后的功能评分.

主要方法:

对15名经过手术治疗的船骨骨折的成年患者进行了回顾性单心研究 (2009-2018).
临床评估包括美国整形足部和脚协会 (AOFAS) 的中脚和视觉模拟尺度 (VAS) 评分.
放射性评估确定了骨关节炎的等级.

主要成果:

所有15个骨折都愈合了,14个案例进行了开放式缩小和内部固定 (ORIF).
9名患者患有0级或I级关节炎,而6名患有II级或III级.
平均AOFAS中脚分为87.7,其中11名患者获得了优秀或良好的结果.

结论:

开放式缩减和稳定的骨质合成与大多数 navicular 骨折患者的良好结果有关.
创伤后关节炎和疼痛是最重要的长期并发症.
建议专门的中心来治疗这些罕见的骨折,因为同时发生的高发病率和严重后果的可能性.

关键词:

脚脚脚的脚脚的骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折,骨折.后脚. 后脚. 后脚.塔尔萨尔的航海器

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Fractures: Bone Repair

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