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双与单在远距离大腿骨折:一个系统的审查和元分析

Ahmed Oun¹, Hamdy Khaled Sabra², Omar Abdelaziz³

¹Faculty of Medicine, Tanta University Hospital, Tanta University, Tanta, Egypt. ahmed_30942176@med.tanta.edu.eg.

Journal of orthopaedic surgery and research

|October 24, 2025

概括

双 (DP) 与单 (SP) 相比,显著改善了远端股骨骨折 (DFF) 的骨折愈合,导致结合率更高,并发症更少. 对于那些优先考虑膝盖运动范围的患者来说,SP可能是首选的.

科学领域:

整形外科手术整形外科手术
生物医学工程生物医学工程
创伤管理创伤管理

背景情况:

远骨折 (DFF) 是复杂的损伤,需要有效的固定.
单 (SP) 是常见的,但双 (DP) 可能提供增强的稳定性.
这项研究比较了DP与DP的临床结果,与DPFF的SP相比.

研究的目的:

系统地审查和分析双与单在治疗远部股骨骨折的临床结果.
为了比较两个手术技术之间的骨折结合率,愈合时间和并发症概况.

主要方法:

在PubMed,Scopus和Web of Science进行了系统的文献搜索.
包括13项追溯研究,涉及1015名患者 (654名SP,361名DP) 患有远端股骨骨折.
分析了使用随机效应模型的结合率,手术时间,血液流失,ROM,功能评分,并发症和重新手术.

主要成果:

双显示出明显更高的联合率 (OR=5.34) 和更快的联合时间.
与SP相比,DP降低了非工会 (73%),不良工会 (89%) 和延迟工会 (84%) 的几率.
单片涂层提供了优越的术后膝盖运动范围,而并发症率相似.

结论:

双是偏远大腿骨折的首选,因为它具有更好的愈合和相似的并发症率.
对于最大限度地提高手术后膝盖移动性是主要目标的患者,可以考虑单一涂层.

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