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手术和保守管理对儿科的骨前臂骨折都有效:系统性审查和元分析

Ojasvi Sharma¹, Denia Hamidi¹, Isabella Bozzo²

¹Faculty of Medicine and Health Science, McGill University, Montreal, QC, Canada.

Journal of the Pediatric Orthopaedic Society of North America

|October 23, 2025

概括

对于儿科双骨前臂骨折 (BBFFs) 的手术治疗显示出比保守方法更低的并发症和重新移位率. 虽然手术治疗时间更长,但这两种方法都产生了出色的功能结果和100%的结合率.

科学领域:

整形外科手术整形外科手术
儿科整形外科儿科整形外科
创伤学创伤学创伤学

背景情况:

在骨不成熟的患者中,前臂骨骨折 (BBFF) 缺乏关于最佳治疗的共识.
有操作和非操作策略,但比较结果数据有限.

研究的目的:

系统地审查和比较儿科BBFF手术与保守治疗的结果.
为了确定哪种治疗方法在这个人群中为患者提供了优越的治疗结果.

主要方法:

按照PRISMA指南进行系统审查和元分析.
在 Medline,Scopus,PubMed 和 CENTRAL 搜索了对骨不成熟患者BBFF的研究.
包括24项涉及1,157名患者的研究,比较了手术 (骨髓内钉,) 和非手术 (造) 方法.

主要成果:

手术组和保守组都取得了出色的功能结果 (P = .2701) 和100%的工会率.
整体并发症在保守组 (24%) 与外科手术 (12%).
在保守组 (26%) 与手术组 (3%) 中,重置位明显高,风险比率为10.08.
需要额外的干预措施在保守的组 (14%) 比手术 (5%) 更高.
在手术组 (8.26周) 和保守组 (6.50周) 中,结合的时间更长 (P < .001).

结论:

儿科BBFF的保守和手术管理都导致了出色的功能结果和高的工会率.
手术治疗与明显较低的转移率和需要额外的干预措施有关.
对于那些重塑潜力较低的老年儿童来说,手术治疗可能是最好的,以尽量减少并发症.

关键词:

骨头两只前臂骨折骨折在前臂骨折骨折管理骨折管理整形医生整形医生整形医生儿科创伤儿童创伤骨没有成熟.

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