在使用超甲状腺和亚甲状腺方法对腹内钉的功能性和放射性结果进行比较
Anurag Agrawal1, Rajeev Kelkar1, Pranav Mahajan1
1Orthopedics and Traumatology, Mahatma Gandhi Memorial (MGM) Medical College and Maharaja Yeshwantrao (MY) Hospital, Indore, IND.
Cureus
|October 22, 2025
概括
在骨骨折中,上 (SPN) 和下 (IFN) 内钉显示了类似的结果. 虽然SPN的手术时间更长,但两种方法在三个月后提供了可比的疼痛,功能和对齐.
科学领域:
- 整形外科 整形外科 整形外科
- 创伤学 创伤学 创伤学
- 手术创新 在外科创新.
背景情况:
- 骨骨折很常见,通常是由于创伤造成的.
- 内钉 (IMN) 是标准的治疗方法.
- 讨论了Suprapatellar (SPN) 和Infrapatellar (IFN) 的钉钉方法.
研究的目的:
- 为了比较SPN和IFN内钉对骨骨折的结果.
- 评估手术时间,疼痛,功能恢复和并发症.
主要方法:
- 对60名带骨骨折的患者进行前性观察性研究.
- 随机分配给SPN或IFN集团.
- 评估2周,6周和3个月的手术时间,疼痛 (VAS),功能 (莱斯霍姆分数),对齐和并发症.
主要成果:
- SPN组的外科手术时间明显较长 (77.6分 vs 68.8分),并观察到学习曲线.
- 术后疼痛和功能恢复在SPN和IFN组之间是相似的.
- 在两个组中,在3个月后,在最小的并发症的情况下,都获得了优异的功能结果和可比的放射性对齐.
结论:
- 骨IMN的SPN和IFN方法都产生了可比的功能和放射性结果.
- 初始较长的SPN手术时间没有影响疼痛,愈合或并发症的发生率.
- 手术方法的选择可以根据外科医生的偏好和患者因素进行个性化.
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