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在骨骨折的开放缩小和固定后出现并发症和功能不良的危险因素

Jawad Almasarweh¹, Hussam Ellauzi¹, Jan Dirk Theopold¹

¹Department of Orthopaedics, Trauma and Plastic Surgery, University Hospital Leipzig, Leipzig, Germany.

JSES reviews, reports, and techniques

|November 3, 2025

概括

骨头骨折的手术治疗往往会导致并发症和修订. 需要除了移除植入物以外的患者的肘部功能恶化,这凸显了需要仔细选择治疗的必要性.

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
上肢的重建上肢的重建

背景情况:

大脑骨折带来了重大挑战,包括高并发症率,功能限制和频繁的修复手术.
确定不良结果的风险因素对于改善患者护理至关重要.

研究的目的:

评估与手术治疗骨折后并发症和功能减弱相关的风险因素.
分析骨折类型,手术技术和术后关节对齐对结果的影响.

主要方法:

在1级创伤中心 (2015年1月至2023年3月) 治疗的18岁以上患有孤立骨头骨折的患者的回顾性分析.
收集的数据包括人口统计,并发症,骨折分类 (AO/OTA),手术程序和并发症.
使用牛津肘部得分,修改的梅奥肘部性能得分 (MEPS) 和疼痛数值评分表来评估功能结果.

主要成果:

分析了52名患者 (平均年龄为47.9岁),主要是B型/C型关闭骨折.
常见的程序包括Kirschner电线张力带 (65.4%) 和锁板固定.
虽然大多数患者 (59.6%) 进行了植入物切除,但15.4%的患者需要除了植入物切除之外的修订,与更差的MEPS分数相关 (P=.011).

结论:

手术治疗骨头骨折具有很高的并发症风险,除了移除植入物之外的修订会对功能结果产生负面影响.
根据骨折类型,性别,手术方法或术后关节间隙/分级,没有观察到结果的显著差异.
优化手术治疗和患者选择对于尽量减少必要的修订和改善功能恢复至关重要.

关键词:

肘部功能功能肘部功能美国的MEPS.在美国,OES OES.骨头骨头骨折骨头骨折板块骨质合成板块骨质合成张力带电线的电线.

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