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低形状,高冲击:在具有挑战性的骨断裂中使用锁定板进行外部固定

Ismail Pandor¹, Abhishek Sharma¹, Paresh Patil¹

¹Department of Orthopaedics, Krishna Vishwa Vidhyapeeth, Karad, Maharashtra, India.

Journal of orthopaedic case reports

|September 12, 2025

概括

锁定板外固定器 (LPEF) 为软组织损伤的复杂骨折提供了可行的解决方案. 这种方法显示出高的结合率和优秀的功能恢复,使其成为一个有前途的手术选择.

科学领域:

整形外科手术整形外科手术
创伤外科手术创伤外科
生物材料工程生物材料工程

背景情况:

带有软组织损伤的骨骨折带来了重大的外科手术挑战.
传统的外部固定器是常见的,但用于外部的锁定压缩板 (LCP) 提供了一个低度,角度稳定的替代方案.

研究的目的:

为了评估使用锁定板外固定器 (LPEFs) 用于骨骨折的临床结果.
评估LPEFs治疗患者的结合率,并发症概况和功能恢复.

主要方法:

一项针对15名成年患者进行的前性研究,这些患者有开放性或软组织受损的骨骨折.
治疗涉及将LCP作为外部固定器在12个月内应用.
测量结果包括放射性结合,承重时间,感染和重新手术率以及功能评分 (KSS,AOFAS).

主要成果:

实现了90%的工会率,工会平均时间为12.1周.
并发症很少,包括一次表面感染 (6.6%) 和一次重复手术 (6.6%).
观察到卓越的功能结果,平均膝盖协会得分 (KSS) 为85,美国整形足和脚协会 (AOFAS) 得分为81.

结论:

LPEF是复杂的骨骨折的可行固定方法,涉及软组织的妥协.
这种方法促进了早期动员,并导致更少的并发症和优异的功能结果.
建议与更大的队列进行进一步的研究,以支持更广泛的临床采用.

关键词:

外部固定装置的外部固定装置锁定板上的锁定板.骨骨折骨折在骨骨折.

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