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手术治疗 navicular 骨折的并发症和放射结果

Thomas R Johnston¹, William Fray McCormick¹, Connor J Donley¹

¹Department of Orthopaedic Surgery, University of Alabama at Birmingham, Birmingham, AL.

OTA international : the open access journal of orthopaedic trauma

|May 9, 2025

概括

开放式缩小和 navicular 骨折的内部固定可以导致并发症. 椎关节脱增加了关节炎的风险,而固定方法影响了血管缩和重新手术率.

科学领域:

整形外科手术整形外科手术
创伤护理的护理人员.
放射性结果的结果

背景情况:

骨骨折是复杂的伤害,需要手术干预.
评估开放性减少和内部固定 (ORIF) 后的结果对于患者管理至关重要.
了解骨折模式和手术技术可以预测并发症.

研究的目的:

为了评估放射性结果和并发症后ORIF的 navicular 骨折.
识别与不良结果相关的因素,包括关节炎,无血管亡 (AVN) 和重新手术.
分析手术治疗后患者报告的结果.

主要方法:

在一级创伤中心对38名接受ORIF治疗的病人进行了回顾性队列研究.
排除标准包括非手术管理,<6个月的随访,年龄<18岁或指数融合.
评估的结果包括临床和放射性并发症以及患者报告的PROMIS分数.

主要成果:

七名患者 (18.4%) 经历了术后并发症.
放射性发现包括骨关节 (TNJ) 关节炎 (7例), navicular AVN (6例) 和足部崩 (7例).
关节脱位与增加的关节关节炎相关 (P=0.009);关节跨度固定与增加的 navicular AVN相关 (P=0.047) 和重新操作 (P=0.007).

结论:

带有TNJ脱位的骨骨折与TNJ关节炎的更高发病率有关.
跨越TNJ的固定与 navicular AVN 和重新操作的风险增加有关.
这些发现有助于进行手术决策和为 navicular 骨折提供患者咨询.

关键词:

骨折骨折骨折骨折在伤害的伤害伤害的伤害.航海器的航海器是什么意思结果就是结果.

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