双边支柱断裂后的长期结果:三例病例的报告
Nicholas Frappa1, Danil Chernov1, Morgan Dillon1
1Jacobs School of Medicine and Biomedical Sciences, 955 Main St. Buffalo, NY 14203, United States.
Journal of surgical case reports
|October 20, 2025
概括
这一案例系列强调了双边柱骨折,通常是由于高能量创伤造成的,可能导致显著的长期并发症. 延长后续对管理这些复杂的下肢损伤至关重要.
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
背景情况:
- 双边支柱骨折是由于高能创伤造成的严重伤害.
- 患者经常出现并发症,可能使治疗和康复复杂化.
研究的目的:
- 报告三名双边柱骨骨折的男性患者的长期结果.
- 强调晚期并发症的可能性和需要延长监测.
主要方法:
- 三名男性患者的病例系列,两侧骨柱骨折.
- 按骨折模式和软组织状况量身定制的分阶段的开放缩减和内部固定.
- 最少2年的随访,并进行详细的并发症评估.
主要成果:
- 三分之二的患者出现了显著的晚期并发症,包括远端骨非结合和创伤后关节炎.
- 修复手术,如骨移植和关节融合,在最初的手术后需要超过一年的时间.
- 双边伤害可能表明更复杂的恢复轨迹.
结论:
- 双边支柱骨折可能导致严重的长期并发症,需要复杂的修订程序.
- 对于患有这些损伤的患者,扩展术后监测是必不可少的.
- 需要进一步的研究,以优化对复杂的双边下肢创伤的治疗和咨询.
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