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在60岁以上的患者中,用于移位近端骨骨折的内指甲与锁定板:一项比较临床研究

Marco Simone Vaccalluzzo¹, Marco Sapienza¹, Sergio Valenti¹

¹Department of General Surgery and Medical Surgical Specialties, Section of Orthopaedics, A.O.U. Policlinico Rodolico-San Marco, University of Catania, 95123 Catania, Italy.

Journal of clinical medicine

|July 12, 2025

概括

对于移位近腰骨折 (PHFs),内指甲 (IM) 和锁定板 (LP) 提供类似的短期患者结果. 骨折复杂性,而不是植入物选择,似乎在PHF治疗中驱动功能恢复.

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
生物医学工程生物医学工程

背景情况:

移位近腰骨骨折 (PHF) 很常见,特别是在骨质差的老年患者中.
内钉 (IM) 和锁板 (LP) 固定是PHF的主要手术选择.
在现有文献中,IM与LP对PHF的比较有效性仍在争论中.

研究的目的:

为了比较内钉 (IM) 与锁板 (LP) 固定在移位近腰骨骨折 (PHF) 的疗效.
评估IM和LP组之间的功能结果,运动范围和并发症率.
确定影响手术治疗PHF的结果的因素.

主要方法:

对187名患有Neer≥2部分PHF的成年患者进行了回顾性队列研究,这些患者接受了IM或LP固定治疗.
收集了有关患者人口统计,骨质量,创伤机制和手术技术的数据.
功能性结局 (DASH,Constant-Murley分数),运动范围 (ROM) 和术后评估的并发症,长达12个月.

主要成果:

在12个月内,IM和LP组之间没有观察到DASH或Constant-Murley得分的显著差异.
在两个治疗组和所有骨折类型中,观察到可比的运动恢复范围.
整体并发症率为11.8%,固定方法之间没有显著差异;严重骨折显示出更高的并发症率.

结论:

内钉和锁定板固定都在移位近腰骨骨折中产生了可比的短期结果.
功能恢复受骨折复杂性的影响比使用的特定固定方法更大.
治疗选择应优先考虑骨折形态,患者因素和外科医生的专业知识,以获得最佳的近腰骨折管理.

关键词:

骨盘骨盘骨盘骨盘骨盘部骨折部骨折部骨折骨髓内骨折固定骨髓内骨折固定恢复功能恢复的功能.肩部骨折肩部骨折肩部骨折

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Fractures: Bone Repair

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...