在固定骨平原骨折后,关节表面会崩吗?
Mohammad Monir1, Ahmed Elkohail2, Mohamed Elbanna2
1Orthopaedics and Trauma, General Organization For Teaching Hospitals and Institutes, Cairo, EGY.
Cureus
|September 29, 2025
概括
35%的带高原骨折的患者经历了手术后关节崩. 诸如年龄,吸烟和早期举重等因素显著增加了塌风险,影响了膝盖功能.
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
- 放射学 放射学是一门学科.
背景情况:
- 骨平原骨折,特别是带有关节抑郁和缩小的骨折,带来了外科手术的挑战.
- 解剖缩小对于恢复关节一致性和功能以及预防创伤后关节炎至关重要.
- 压抑的关节表面需要高度和稳定的内部固定.
研究的目的:
- 为了前性地评估术后的关节整合性和表面崩,在开放缩小骨平原骨折后.
- 为了确定与关节崩相关的手术和患者相关的因素.
- 使用拉斯穆森的分级系统,将结果与患者的年龄,性别,骨折类型和习惯相关联.
主要方法:
- 40名近端腿部/膝盖创伤的患者接受了开放式缩减和内部固定,用于骨平原骨折 (施塔茨克分类).
- 术前CT扫描和术后X射线/CT扫描用于评估.
- 随访包括至少六个月的连续成像,以评估关节表面崩.
主要成果:
- 关节表面崩发生在14名 (35%) 患者中.
- 发现了崩与年龄,手术前碎片化,骨移植使用,吸烟和早期体重承受之间的显著关联.
- 崩与增加的膝盖疼痛,减少的行走能力和较差的X光学分数密切相关.
结论:
- 手术后关节崩是骨高原骨折的一个重要并发症.
- 患者因素 (年龄,吸烟) 和治疗变量 (骨移植,早期体重) 影响崩风险.
- 关节崩会对临床功能和放射性结果产生负面影响.
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