骨移植在远距离半径病变的整形骨切术中的作用
Ryan Paul1,2, Jonathan Persitz1,2, Shawn Khan2
1Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, University Health Network, Toronto Western Hospital, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Journal of wrist surgery
|March 28, 2025
概括
对于远半径纠正骨切除术来实现骨联合,骨移植是不必要的. 合成骨移植显示出更高的并发症率,而自体移植和异体移植允许在远距离半径恶性结合中进行更大的纠正.
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
- 骨治愈研究研究 骨治愈研究
背景情况:
- 对于远半径恶性结合而言,正性骨切除术通常涉及到飞.
- 在这些程序中,骨移植的必要性仍在争论中.
- 本综述侧重于背部不合并的远半径骨折的关节外骨切除术.
研究的目的:
- 评估骨移植对结合,修复和并发症率的影响.
- 为了比较不同的骨移植技术 (自移植,合成,合移植,无移植).
- 为了评估骨移植和外科手术结果在远半径正骨切除术之间的关联.
主要方法:
- 对报告临床结果的研究进行系统审查.
- 在 MEDLINE,Embase 和 CINAHL 数据库中进行了搜索.
- 包括13项研究,其中236名患者接受了因远距离半径不良结合而进行正骨切除术.
主要成果:
- 总体工会率为97%,平均工会时间为12.0周.
- 自体移植和异体移植组在背部倾斜和腹变异方面取得了更大的纠正.
- 合成骨头移植的并发症 (45%) 和修复率 (26.3%) 是最高的.
结论:
- 在这种情况下,骨移植似乎并没有提高工会率.
- 与没有移植或合成移植相比,自移植和全移植促进了更大的纠正.
- 合成骨移植与增加的并发症和修订有关;对复杂的形需要进一步研究.
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