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用预定轮锁板治疗的移位中轴关节骨折的功能结果:前性研究

Abdullah Ali Al-Moaish^1,2, Jamal Abdulraheem Algabarty¹, Anwar Mughallas^1,2

¹Department of Orthopedic Surgery, Al-Thawra Modern General Hospital, Sana'a, Yemen.

|September 5, 2025

概括

开放式降低和内部固定 (ORIF) 具有预先设计的锁定板,为移位的中轴关节骨折提供了很好的结果. 这种手术方法表明患者满意度高,并发症率低,支持其用于管理这些伤害.

科学领域:

骨科手术
创伤学
骨的修复

背景情况:

中轴关节骨折在骨科治疗中带来了重大挑战.
传统的治疗方法可能并不总能达到最佳的功能恢复.
评估关节骨折的外科手术对于改善患者的结果至关重要.

研究的目的:

评估移位中轴关节骨折的开放缩小和内部固定 (ORIF) 的功能结果和并发症.
评估预制的关节上锁板在骨折愈合和肩膀功能中的有效性.
为了确定患者对关节骨折的ORIF满意度.

主要方法:

这是一项前性两中心研究,涉及65名中轴关节骨折的成年患者.
手术包括使用预制的上关节锁板进行开放缩小和内部固定 (ORIF).
在术后六个月使用加利福尼亚大学洛杉矶分校 (UCLA) 肩部评分来评估功能结果.

主要成果:

六个月后UCLA的平均得分为32. 46,其中98. 5%的患者获得良好或优异的结果.
报告的患者满意度高 (100%),并发症率低,包括硬件刺激,失效和表面感染.
根据受伤机制,受影响侧面和患者年龄,UCLA的分数显示出显著的差异.

结论:

使用预定形状锁板的ORIF显示出有前途的功能结果和高患者满意度.
这项研究表明与这种手术技术相关的并发症率很低.
限制包括观察设计和短期随访;建议进行更大规模的受控研究.

关键词:

其他国家关节骨骨折发生并发症功能性结果中轴断裂患者的满意度预定形状的锁板手术管理

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