青少年中完全移位的中轴关节骨折与皮肤纹:来自FACTS多中心前性队列研究的结果
S Clifton Willimon1, Philip L Wilson2, Michael Quinn3
1Children's Healthcare of Atlanta, Atlanta, Georgia.
概括
青少年关节骨骨折与皮肤张显示类似的结果,无论是无手术治疗还是手术治疗. 非手术治疗是可行的,尽管有些病例可能需要转换为手术,患者报告的结果或并发症没有显著差异.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 创伤学 创伤学 创伤学
背景情况:
- 皮肤帐是关节骨骨折的常见手术指示.
- 它对青少年骨折结果的影响仍未得到充分研究.
- 这项研究调查了手术与非手术治疗青少年关节骨骨折与皮肤化的结果.
研究的目的:
- 为了比较临床和患者报告的结局 (PROMs) 在关节骨折和皮肤的青少年.
- 在这个特定的患者群体中,评估非手术与手术治疗的疗效.
主要方法:
- 对764名青少年 (10-18岁) 的回顾性分析,其中有位移的中轴关节骨折.
- 确定皮肤 (n=88) 或皮肤亡风险的队列.
- 人口统计,骨折特征,治疗 (ORIF与非手术),并发症,恢复体育和PROM (ASES,QuickDASH,Marx,EQ-VAS) 在1年随访后的比较.
主要成果:
- 88名青少年 (12%) 呈现出皮肤,通常与年龄较大,削减,缩短和上部位移有关.
- 66%接受ORIF,34%接受非手术治疗;非手术组没有皮肤并发症.
- 10%的非手术病例转换为ORIF;在1年的随访中,在非手术和ORIF组之间,PROM,并发症或恢复体育运动方面没有显著差异.
结论:
- 在12%的流离失所的青少年中,关节骨折存在皮肤.
- 非操作性管理是一种可行的选择,其结果与ORIF相似.
- 早期转换为ORIF发生在10%的非手术病例中,强调需要仔细监测.
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