通过各种方式治疗的关节骨骨折的结果
M T Ganesh1, Haemanath Pandian1, Aizel Sherief Palasseril1
1Department of Orthopedics, Sree Balaji Medical College and Hospital, BIHER, Chennai, Tamil Nadu, India.
Journal of orthopaedic case reports
|June 16, 2025
概括
保守治疗对非移位的关节骨骨折是有效的,但手术干预 (ORIF) 显示出更高的结合率和更好的功能结果移位骨折. 个性化治疗是最佳患者满意度的关键.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤学 创伤学 创伤学
- 手术创新 在外科创新.
背景情况:
- 关节骨骨折是常见的肩膀腰带损伤.
- 治疗方法各不相同,从保守护理到手术固定.
- 开放式缩减和内部固定 (ORIF) 是一种手术选择.
研究的目的:
- 为了比较保守的关节骨折治疗与ORIF的结果.
- 为了评估工会率,并发症和功能恢复.
- 为了告知关节骨折的个性化治疗策略.
主要方法:
- 94名关节骨骨折患者 (2019-2023) 的回顾性分析.
- 患者分为保守 (n=52) 和手术 (n=42) 组.
- 手术固定包括弹性指甲系统 (TENS) 和板/螺丝固定.
主要成果:
- 平均结合时间为3个月;保守治疗在非移位骨折中愈合得更快.
- 手术干预实现了更高的工会率 (95.24%与TENS) 与保守的 (92.31%).
- 在保守的病例 (85%) 中,毛病率很高,但功能缺陷是最小的;手术没有变形或显著缺陷.
结论:
- 保守治疗适用于非移位的关节骨骨折.
- 手术干预 (ORIF) 有利于移位骨折,改善结合率和功能.
- 个性化治疗,有利于移位/压碎骨折的手术,最大限度地减少并发症,提高患者的满意度.
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