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用短腿固定固定在急性骨短腿肌撕裂中
Muhammed Taha Demir1, Yigit Kultur2, Cumhur Deniz Deniz Davulcu3
1Department of Orthopedics and Traumatology, OrthoCure Private Clinic, Istanbul, Turkey.
概括
在急性脚逆转扭伤 (AAIS) 中用短腿造固定肌 (PBT) 撕裂,改善了临床结果. 四周的造比没有固定表现出更好的结果,尽管手术率相似.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 肌肉骨成像系统的成像
背景情况:
- 急性脚逆转扭伤 (AAIS) 经常导致大腿短肌 (PBT) 损伤.
- 保守的管理是PBT损伤的标准治疗方法.
- 对于不完整的PBT撕裂,固定治疗的有效性需要进一步研究.
研究的目的:
- 为了比较短腿造固定和不固定对不完整的PBT撕裂导致AAIS的有效性.
- 用美国整形外科足协会 (AOFAS) 评分来评估临床结果.
主要方法:
- 在AAIS (2013-2021) 的MRI验证不完整的PBT分裂眼的49名患者进行了回顾性研究.
- 第一组 (n=27):没有固定;第二组 (n=22):四周的短腿形固定.
- 使用曼-惠特尼U测试,在基线和随访时比较了AOFAS得分.
主要成果:
- 两组都显示出明显的AOFAS得分改善 (P<0.001).
- 第二组 (固定) 获得了明显更高的最终AOFAS分数 (P=0.007).
- 手术干预率在各组之间没有显著差异 (25.9%对13.6%,P=0.288).
结论:
- 四周的短腿造固定改善了AAIS后部分PBT撕裂的临床结果,与非固定相比.
- 固定不动并没有显著改变随后手术干预的必要性.
- 造是不完整的PBT撕裂的有益的保守治疗选择.
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