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骨头骨切断固定的临床结果

Ankur Khanna¹, Krystin A Hidden², Jennifer Tangtiphaiboontana²

¹Department of Orthopedic Surgery, Mayo Clinic, 200 First Street S.W, Rochester, MN, 55905, USA. khankur98@gmail.com.

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

|September 1, 2025

概括

使用骨髓内螺丝 (IMS),张力带电线 (TBW) 或板固定 (PF) 的骨头骨折固定显示出类似的重复手术率和患者结局. 根据患者和外科医生的偏好,选择固定方法应该是个性化的.

科学领域:

整形外科手术
创伤手术
手术固定技术

背景情况:

骨骨切除术是一个常见的手臂骨折手术.
有各种固定方法,包括内螺丝 (IMS),张力带线 (TBW) 和板固定 (PF).
对于这些固定方法的再操作率和临床结果的比较数据有限.

研究的目的:

为了比较IMS,TBW和PF的重复手术率和临床结果.
评估二次结果,如并发症和患者报告的功能评分.

主要方法:

通过骨头骨折和IMS,TBW或PF固定治疗的AO/OTA 13级远端骨骨折的回顾性审查.
在一级创伤中心16年内包括86名患者.
多变量逻辑回归用于比较重新手术率,并发症 (非联合,感染等). 单一评估数值评估 (SANE) 和手臂,肩膀和手的快速残疾 (QuickDASH) 评分.

主要成果:

在这三种固定方法中,没有发现重复操作率的显著差异 (32% IMS,33% TBW,46% PF;p=0. 32).
所有组的并发症率 (p>0.05),结合时间 (p=0.09),SANE得分 (p=0.53) 和QuickDASH得分 (p=0.58) 都相似.
个别的重新手术率有所不同,但整体统计学意义未达到.

结论:

骨髓内螺丝 (IMS),张力带电线 (TBW) 和骨头骨折板固定 (PF) 导致可比的重复手术率和功能结果.
固定方法的选择应根据患者的个人需求和外科医生的偏好进行.
这项回顾性研究表明,对于骨切割固定,没有一种方法是普遍优越的.

关键词:

脊椎骨骨折骨切除术板固定方式螺丝和固定装置张力带

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