儿童患有关节周损伤的急性创伤性骨位移:对137名患者的回顾性研究
Fuchao Wang1, Shixia Chen1, Yan Zhang2
1Bone and Joint Trauma and Sports Medical Center, Weifang Yidu Central Hospital, Weifang, Shandong, 262500, China.
概括
在儿童中,急性创伤性关节位移经常涉及相关的膝盖损伤. 与非手术治疗相比,手术治疗显著降低了复位率,特别是在复杂的病例中.
科学领域:
- 儿科整形外科 儿科整形外科
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 在儿童中,急性创伤性关节脱位 (PD) 可能发生在各种膝关节关节受伤时.
- 了解这些相关损伤的发生率和模式对于有效管理至关重要.
研究的目的:
- 调查儿童急性创伤性带脱位 (PD) 的发生率.
- 为了分析相关的膝关节关节损伤.
- 为了评估治疗策略和治疗结果的儿科带突变.
主要方法:
- 对137名患有急性创伤性PD和关节周损伤的儿科患者进行了回顾性分析.
- 审查成像,病史和治疗记录.
- 评估伤害类型,并比较手术与非手术治疗结果.
主要成果:
- 常见的相关损伤包括软骨损伤 (43名患者) 和脱落骨折 (31名患者).
- 对于孤立的中间骨关节带 (MPFL) 损伤的非手术治疗,复位率为39.3% (12/29).
- 对于所有PD病例的手术治疗,与非手术治疗 (32.61%) 相比,PD复位率 (2.22%) 显著降低.
结论:
- 儿科创伤骨位移往往呈现出大量的软组织和骨损伤.
- 手术干预在减少复发方面非常有效,特别是在涉及延伸机制损伤,软骨损伤或重大骨折的位上.
- 对于复杂的儿科带脱位,可能需要考虑早期的手术,以尽量减少长期的发病率.
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