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在带有侧骨折的开放高骨切除术后的术后结果

Hee-June Kim¹, Ji-Yeon Shin², Hyun-Joo Lee¹

¹Department of Orthopaedic Surgery, School of Medicine, Kyungpook National University, Kyungpook National University Hospital, Daegu, South Korea.

Journal of orthopaedic surgery (Hong Kong)

|June 11, 2025

概括

在开式高骨切除术 (OWHTO) 后的侧骨折 (LHF) 不会对患者的结果产生负面影响. 在患有和没有LHF的患者中观察到可比的临床结果和对齐校正,避免了进一步的手术.

科学领域:

整形外科手术整形外科手术
生物力学生物力学
放射学放射学是一门学科.

背景情况:

侧骨折 (LHF) 是开高骨切除术 (OWHTO) 的潜在并发症.
低血压可能导致术后不稳定,移位,失调,失联和失联.
这项研究调查了OWHTO后LHF的临床影响.

研究的目的:

测试假设,LHF患者在OWHTO后获得与没有LHF患者相似的临床结果.
确定LHF是否需要额外的外科手术才能成功康复.

主要方法:

对96名接受OWHTO与锁定板固定 (2019-2021) 的患者进行了回顾性研究.
使用术后放射和CT扫描 (25%的发病率) 识别LHF.
通过全腿站立放射和使用HSS,KS和FS得分的临床结果来评估下肢对齐.

主要成果:

在12个月后,LHF和非LHF组之间的机械轴变化没有统计学上显著的差异 (p = .219).
纵向对齐变化在各组之间没有显著差异 (p = .743).
所有患者的术后临床评分都有所改善,根据LHF状态没有显著差异.

结论:

在OWHTO之后的侧骨折不会对术后的临床结果或对齐校正产生不利影响.
患有LHF的患者可以获得与没有LHF的患者相似的结果.
在OWHTO之后,LHF通常不需要额外的手术干预.

关键词:

高骨骨切除术是指高骨切除术膝盖膝盖膝盖在侧面链骨折侧面链骨折开放高骨切除术开放高骨切除

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