扩展的柔手臂半径半径直径骨折固定的方法:一个前性研究
Sulaiman Alrefai1,2, Dionne Hsu1, Jonathan Persitz1,3,2
1Department of Surgery, Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.
Journal of hand surgery global online
|June 11, 2025
概括
延伸伸 flexor carpi radialis (EFCR) 方法是安全有效的治疗远端半径骨折,显示出良好的患者结果和低并发症率. 这种方法提供了很好的曝光,并简化了骨折减少,以获得更好的外科结果.
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
- 上肢重建的重建工作.
背景情况:
- 2001年引入的扩展手半径伸缩器 (EFCR) 方法为远半径骨折提供了增强的可视化.
- 它通过释放变形力来促进减小,并提供进入飞行角的途径.
研究的目的:
- 评估EFCR方法对急性和亚急性远端半径骨折的安全性和有效性.
- 为了确定这种方法是否与标准方法相比增加了并发症率.
主要方法:
- 以EFCR方法和飞行锁定板 (2018-2023) 进行开放缩减和内部固定的100名患者的回顾性审查.
- 收集的数据包括运动范围,握力,DASH分数,X光学参数 (飞倾斜,辐射倾斜,腹变异) 和并发症.
- 描述性统计数据被用于数据分析.
主要成果:
- 平均随访时间为14个月,平均DASH分数为6.8.
- 平均手腕运动范围:曲72°,延伸60°,俯卧78°,俯仰77°.
- 平均握力为28公斤;X光学结果是有利的. 整体并发症率为9%,其中轻微并发症占主导地位.
结论:
- 在外科手术中,EFCR方法是安全有效的,用于远半径骨折的例行使用.
- 它产生了出色的临床,放射和患者报告的结果.
- 这种方法提供了有利的暴露和有效的减少,而不会增加发病率.
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