极端钉钉:标准化的定义和结果
Abhishek Ganta1,2, Fiona Cherry3, Nirmal Tejwani3
1New York University Langone Medical Center, New York, USA. abhishek.ganta@nyulangone.org.
概括
在延伸到骨头末端的骨折中,极端的小腿骨钉是可行的. 这种内钉技术显示了可以接受的对齐和愈合结果,尽管有一些并发症.
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
- 骨折管理 骨折管理
背景情况:
- 延伸到近端或远端的小腿骨折会给治疗带来挑战.
- 内钉是常见的治疗方法,但在极端情况下,它的可行性需要定义.
研究的目的:
- 定义"极端骨钉"并评估其可行性.
- 为了评估骨内甲钉的结果,用于涉及指甲锁定区域的骨折.
主要方法:
- 从一个学术中心对555个骨骨折进行了回顾性审查.
- 定义"极端钉钉"是指骨近距离/远距离25%内的骨折,涉及钉子的锁定螺栓区域.
- 排除了额外的周关节涂层的患者.
主要成果:
- 分析了25例"极端IMN"病例 (平均年龄为45.8岁,72%为女性).
- 高能量 (50%+) 和开放性骨折 (40%) 是常见的.
- 并发症包括骨折相关的感染 (12%),非联合 (20%) 和重新手术 (32%). 错位发生在8%.
结论:
- 骨内甲钉是有效的极端骨折延伸到关节表面.
- 大多数患者在6个月内实现了可接受的对齐和放射性结合.
- 这种技术证明了可行性,并有可管理的并发症率.
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