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用压缩和定位螺丝固定骨折的临床结果与滞后螺丝 - - 有区别吗?

Gennadiy Busel¹, Mir Ibrahim Sajid, Alec Bigness

¹From the Department of Orthopaedic Trauma, Allina Health and University of Minnesota/Regions Hospital Minneapolis, MN (Busel), the Department of Orthopaedic Surgery, University of South Florida Tampa, FL (Bigness and Mir), the Orthopaedic Trauma Service, Florida Orthopaedic Institute Tampa, FL (Sajid and Mir), and the Department of Orthopaedic Surgery, UT Southwestern Medical Center Dallas, TX (Grewal).

The Journal of the American Academy of Orthopaedic Surgeons

|April 22, 2025

概括

定位螺丝 (PS) 固定是一种可行的替代方案,用于拖延螺丝 (LSs) 的长丝骨折,展示了相似的工会率和更少的修订. 这项研究比较了这两种用于修复骨骨折的手术技术的临床结果.

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
生物机械工程生物机械工程

背景情况:

滞后螺丝 (LSs) 提供压缩,但在某些骨质或骨折配置方面存在局限性.
没有确立LSs对紧压缩和定位螺丝 (PS) 固定在骨骨折中的临床优势.
骨骨折是一种常见的骨科损伤,需要有效的外科治疗.

研究的目的:

为了比较用滞后螺丝 (LSs) 治疗的长骨折的临床结果与紧压缩和定位螺丝 (PS) 固定.
评估与每个固定技术相关的联合率和修复手术率.
为了确定PS固定是否不劣于LS固定,用于侧面骨骨折.

主要方法:

在2015年至2020年间,对189名患者 (年龄大于18岁) 进行了手术固定骨的回顾性审查.
患有断片间螺丝固定和至少6个月的随访的患者被分为LS和PS组.
分析了人口和临床数据,比较了两组之间的联合和修订率.

主要成果:

两个LS和PS固定实现了100%的工会率.
修复手术率在LS组 (10.5%) 与PS组 (3.6%) 相比较高,尽管在统计学上不显著 (P=0.072).
两组人在年龄,性别,糖尿病和吸烟状况上是相似的.

结论:

断片间PS技术,利用紧压缩和PS,对于侧面骨骨折的LS固定没有劣势.
该PS技术显示高工会率和较低修复手术率的趋势.
固定PS是一个临床上可行的和有效的替代方案,用于支柱骨折的管理.

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