蝶碎片管理是否会影响结碎的关节骨骨折的固定后的愈合?
Jacob A Linker1, Abhishek Ganta1,2, Sanjit R Konda1,2
1Division of Orthopedic Trauma Surgery, Department of Orthopedic Surgery, NYU Langone Health, NYU Langone Orthopedic Hospital, New York, NY, USA.
概括
桥和断片间螺丝/中和板固定都显示了结碎的关节骨骨折的类似愈合率. 然而,桥有更多的并发症和更长的愈合时间.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
- 骨的愈合 骨的愈合
背景情况:
- 缩小的关节骨骨折带来了治疗挑战.
- 为了获得最佳的结果,通常需要操作固定.
- 评估不同的固定技术对于改善患者护理至关重要.
研究的目的:
- 为了比较用桥处理的碎骨关节骨折的愈合结果,与断片间螺丝/中和板固定相比.
- 评估每个固定方法的并发症率和愈合时间.
主要方法:
- 追溯审查271个折断的关节骨骨折,至少6个月的随访.
- 根据固定方法分组患者:桥板或断片间螺丝/中和板.
- 分析包括骨折愈合,并发症,非联合和修复手术率.
主要成果:
- 两组之间无显著差异的放射性愈合时间或非联合率.
- 桥板组经历了更高的修复手术和硬件移除率.
- 桥板固定与更长的临床愈合时间有关.
结论:
- 桥和断片间螺丝/中和板固定都实现了类似的骨折愈合率.
- 这两种手术技术的并发症概况相似,尽管修复率和愈合时间有差异.
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