位移关节轴骨折的板块固定与内钉:对随机对照试验的更新元分析
Daniel P Oar1, Jason S DeFrancisis1, Alex Abouafech2
1Orthopaedic Surgery, Lake Erie College of Osteopathic Medicine, Bradenton, USA.
Cureus
|October 28, 2025
概括
板固定 (PF) 和内钉 (IMN) 对于关节骨骨折是有效的. 内髓钉提供了一个更短的切口,但两个手术方法的功能结果是相似的.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
- 骨的修复 骨的修复
背景情况:
- 关节骨骨折很常见,特别是在年轻运动员和老年人中.
- 移位骨折的外科选择包括板固定 (PF) 和内钉 (IMN).
- 关节骨骨折的最佳手术技术仍在争论中.
研究的目的:
- 为了比较PF与IMN在手术关节骨折管理中的疗效.
- 调查功能恢复和术后结果的差异.
- 为手术决策提供基于证据的指导.
主要方法:
- 随机对照试验 (RCT) 的系统审查和元分析.
- 包括的研究比较了关节骨骨折的PF和IMN.
- 分析结果包括Constant-Murley分数,DASH分数,结合时间,切口长度和手术时间.
主要成果:
- 在功能分数 (Constant-Murley,DASH),工会时间或操作时间方面,在PF和IMN之间没有发现显著差异.
- 与板固定 (PF) 相比,内钉 (IMN) 显示出明显更短的切口长度.
- 在所有结果指标中观察到很高的异质性 (I2范围:61.0%-96.2%).
结论:
- PF和IMN都是关节骨骨折的有效手术治疗方法.
- 通过更短的切口,IMN提供了最小侵入性的优势.
- 治疗选择应根据患者的因素,外科医生的专业知识和骨折模式来个性化.
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