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Nicole M van Veelen1, Matija Horvat2, Björn-Christian Link2
1Department of Orthopaedic and Trauma Surgery, Luzerner Kantonsspital, Spitalstrasse 166000, Lucerne, Switzerland. Nicole.vanveelen@luks.ch.
这项研究发现,锁定钉和螺丝都为远半径骨折提供了类似的放射性结果. 子提供了一个可行的替代螺丝由于潜在的好处,如一个更光滑的表面.
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
- 放射学 放射学是指放射学
背景情况:
- 距离半径骨折是常见的伤害.
- 伏拉是稳定性的一种标准手术技术.
- 在锁定螺丝和固定钉之间的选择是有争议的.
研究的目的:
- 为了比较远半径骨折的放射性结果,用锁定螺丝与钉使用飞行板进行治疗.
- 评估二次减少损失,手术持续时间,结合率和并发症.
主要方法:
- 对患有远端半径骨折的成年患者进行了回顾性研究,这些患者接受了飞涂层治疗.
- 纳入标准:植入物允许锁定钉子和螺丝.
- 主要结局:在6周和12个月的放射性减少损失.
主要成果:
- 49名患者接受了钉子,39名患者接受了螺丝;人口统计数据相似,但在钉子组中骨折更复杂.
- 在6周或12个月后,钉子和螺丝之间的放射性减少损失没有显著差异.
- 螺丝手术持续时间较长 (p=0.003);结合率和并发症概况相似.
结论:
- 锁定钉子和螺丝在远半径骨折中减少的次要损失方面显示了相似的结果.
- 子是一种可行的螺丝替代品,可能提供诸如光滑表面等优势,以最大限度地降低关节透风险.
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