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垂直双板与关节板对不稳定的远端关节骨折的比较分析

Songlin Li¹, Jinkang Zhang², Han Wang¹

¹Department of Orthopaedics Air Force Medical Center PLA , Air Force Medical University , 100142, Beijing, China.

Scientific reports

|November 25, 2025

概括

垂直双板固定与板固定相比,在不稳定的远端关节骨骨折中提供更好的疼痛控制和功能恢复. 这种方法增强了康复和减少并发症,改善了临床结果.

科学领域:

整形外科手术整形外科手术
创伤学创伤学创伤学
生物机械工程生物机械工程

背景情况:

不稳定的远端关节骨骨折带来了重大治疗挑战.
目前的固定方法,如关节板,在疼痛和并发症方面存在局限性.

研究的目的:

为了比较垂直双板固定与关节板固定在不稳定的远端关节骨骨折的临床疗效.
为了评估两种固定方法之间的疼痛,功能和并发症率.

主要方法:

对37名患有不稳定的远端关节骨骨折 (Neer II/V) 的患者进行了回顾性分析.
垂直双板固定 (n=16) 与关节板固定 (n=21) 的比较.
评估放射性愈合,视觉模拟尺度 (VAS) 疼痛评分,Constant-Murley肩部功能评分和并发症率.

主要成果:

这两种方法都在没有植入物移位的情况下实现了骨折结合.
垂直双板固定组在早期康复期间显示出明显较低的VAS疼痛得分 (P<0.05).
在3,6和12个月的垂直双板组中,Constant-Murley分数显著更高 (P<0.05).
关节板组的并发症率更高,包括冲击综合征和骨骨解.

结论:

垂直双板固定证明了对不稳定的远端关节骨骨折的增强临床疗效.
这种技术提供了卓越的疼痛管理,促进了早期的功能康复,并减少了术后并发症.
垂直双板固定是治疗不稳定的远端关节骨折的一个有希望的替代方案.

关键词:

关节骨的子板,杆板.距离关节骨锁定板的锁定板.距离关节骨骨折距离关节骨折背部远半径板的背部远半径板追溯研究是一项回顾性研究.

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