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相关概念视频

Fractures: Bone Repair01:27

Fractures: Bone Repair

Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the procedure...

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阴道塔尔西与延伸侧向方法对骨折 - 一个多中心研究.

Thomas M Seaver1, Zachary Zeller, Paul Tornetta

  • 1From the Department of Orthopedic Surgery, Boston University Medical Center, Boston, MA (Dr. Zeller and Dr. Tornetta); the Lahey Medical Center, Department of Orthopedic Surgery, Burlington, MA (Dr. Marcantonio and Mr. Ment); Department of Orthopedic Surgery, the Florida Orthopaedic Institute, Tampa, FL (Dr. Mir and Dr. McCaskey); Department of Orthopedic Surgery, the University of Alabama at Birmingham, Birmingham, AL (Dr. Messner and Dr. Spitler); Department of Orthopedic Surgery, the Washington University in St. Louis, St Louis, MO (Dr. Hofer and Dr. Miller); the Hennepin County Medical Center, Minneapolis, MN (Mr. Westberg and Dr. Downes), Department of Orthopedic Surgery; Department of Orthopedic Surgery, the Metro Health Medical Center, Cleveland, OH (Dr. Joseph); Department of Orthopedic Surgery, the University of North Carolina, Chapel Hill, NC (Dr. Suh and Dr. Ostrum); Department of Orthopedic Surgery, the University of Nottingham, Nottingham, UK (Dr. Ollivere and Dr. Ikram); Department of Orthopedic Surgery, the Indiana University, Indianapolis, IN (Dr. Mullis and Dr. Figueras); Department of Orthopedic Surgery, the Oregon Health Science University, Portland, OR (Dr. Friess and Ms. Sodders); Department of Orthopedic Surgery, the Stanford University, Palo Alto, CA (Dr. Van Rysselberghe and Dr. Gardner); Department of Orthopedic Surgery, the Stony Brook University, Stony Brook, NY (Dr. Pawlak and Dr. Kottmeier); Department of Orthopedic Surgery, the University of California San Francisco, San Francisco, CA (Dr. Morshed); Department of Orthopedic Surgery, the Harborview Medical Center, Seattle, WA (Dr. Goodnough, Dr. Bunzel, and Dr. Firoozabadi); Department of Orthopedic Surgery, the University of Minnesota, Minneapolis, MN (Dr. Yoon and Mr. Pottinger); Department of Orthopedic Surgery, the Case Western Reserve University, Cleveland, OH (Dr. Vallier); Department of Orthopedic Surgery, the Hughston Clinic, Nashville, TN (Dr. Hofer); Department of Orthopedic Surgery, the SUNY Downstate Health Sciences University, Brooklyn, NY (Dr. Malik); Department of Orthopedic Surgery, the Orillia Soldiers' Memorial Hospital, Orillia, Canada (Dr. Lim); Department of Orthopedic Surgery, the University of Arizona, Phoenix, AZ (Dr. Johnson and Mr. Chaliki); and the Sanford Medical Center, Department of Orthopedic Surgery, Fargo, ND (Dr. Seaver).

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
|November 4, 2025
PubMed
概括
此摘要是机器生成的。

与延伸横向 (EL) 方法相比,椎 (ST) 手术治疗骨折的手术方法显示较低的深部感染率. 这一发现有助于选择最佳的外科手术技术,以获得更好的患者结果.

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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
  • 手术结果研究研究.

背景情况:

  • 关节内骨折会带来复杂的治疗挑战.
  • 讨论了手术管理选择,包括延伸侧面 (EL) 和鼻 (ST) 方法.
  • 深度感染是手术修复后的一个严重并发症.

研究的目的:

  • 为了比较扩展侧面 (EL) 和鼻 (ST) 方法之间的深部手术部位感染的发病率,用于关节内骨折.
  • 在手术治疗的骨骨折中识别深层感染的独立风险因素.

主要方法:

  • 来自15个机构的782名OTA 82B/C骨折患者的回顾性审查.
  • 深度感染被定义为需要手术脱bridement或骨髓炎治疗.
  • 单变量和多变量分析以确定风险因素.

主要成果:

  • 444个骨折用EL治疗,338个用ST治疗.
  • 深度感染率:EL为6.8%,而ST为3.0% (P=0.017).
  • 独立的风险因素包括手术方法 (P=0.03) 和患者年龄 (P<0.001). EL有更多的伤口并发症;ST有更多的症状植入物.

结论:

  • 与延伸横向 (EL) 方法相比,鼻喉 (ST) 方法与明显较低的深层感染率有关.
  • ST方法也显示了较少的伤口并发症.
  • 对于管理关节内骨折,包括高风险个体中,ST方法可能是可取的.