急性船骨折的手术治疗后的功能结果和并发症
Esmee W M Engelmann1, Jelle Posthuma2, J C Goslings3
1Trauma Unit, Amsterdam UMC, Meibergdreef 9, Amsterdam 1105 AZ, the Netherlands.
概括
在急性骨骨折的治疗中,开放式减少内固定 (ORIF) 导致成功的骨结合和良好的功能结果. 然而,患者可能会出现骨关节炎和限制,特别是复杂的伤害.
科学领域:
- 骨科手术
- 创伤护理
- 足部和脚的重建
背景情况:
- 导管骨折的ORIF的长期结果和并发症尚未得到充分证实.
- 这项研究调查了手术后的功能结果,并发症,生活质量和患者满意度.
研究的目的:
- 评估急性 navicular 骨折后的功能结果和并发症率.
- 评估患者手术后的生活质量和满意度.
- 将发现与现有文献进行比较.
主要方法:
- 在17岁以上的患者中进行骨骨折的回顾性研究 (2010-2023年).
- 使用AOFAS中脚分数,FFI和EQ-5D评估的功能结果.
- 进行了并发症 (非结合,感染,关节病) 和系统文献审查.
主要成果:
- 平均年龄为35. 9岁;平均随访时间为69个月.
- 44名患者有ORIF,其中43名患者达到了结合.
- 发生了3种感染和5种次要关节病变;中位数AOFAS为80.0,中位数FFI为21.
结论:
- 在急性航骨折中,ORIF,尤其是小型板固定,可以成功结合并取得良好的功能结果.
- 存在残留性关节炎和功能限制的可能性,特别是在伤害类型2和3中.
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