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在临时外部固定后的软组织并发症与三元关节骨折的裂
Elias G Joseph1,2,3, Joseph Kocan3, Mitchell Scull2
1Department of Orthopaedics. West Virginia University School of Medicine, Morgantown, WV, USA.
Foot & ankle international
|May 17, 2025
概括
临时 splinting 和外部固定 (ex-fix) 显示类似的短期软组织并发症率为三极骨骨折. 这表明,外科医生应该权衡原始固定的好处与其附加成本和患者负担.
科学领域:
- 整形外科手术 整形外科手术
- 创伤护理 创伤护理
- 骨折管理 骨折管理
背景情况:
- 三角关节骨折需要在最终固定之前进行临时治疗.
- 选项包括带有 splinting 或外部固定 (ex-fix) 的封闭缩减.
- 对 splinting 的担忧包括减少的损失和软组织的损害.
研究的目的:
- 为了比较短时间的软组织并发症 (STCs) 之间的 splinting 和 ex-fix 对于三角骨骨折.
- 确定外部固定是否为防止STC提供了优势.
主要方法:
- 多中心对488名患有关闭三角关节骨折的患者进行了回顾性审查.
- 收集的数据包括人口统计,手术细节和术后并发症.
- 在临时 splinting (n=395) 和 ex-fix (n=93) 之间比较STC率.
主要成果:
- 总体上,STC率为8.4% (41/488).
- STC率相似:原始固定率为6.5%, splinting率为8.9% (P=.45).
- 对于STC的重新操作率也是相似的:原始固定为3.2%,而 splinting为2.8% (P=.73).
结论:
- 外部固定和临时 splinting 显示可比的短期软组织并发症率为三角骨骨折.
- 应在考虑其增加的成本和患者负担时评估ex-fix的临床益处.
- 进一步的研究可能会探索长期结果和成本效益.
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