在手术固定骨骨折后,重新操作的风险因素
Doriann Alcaide1, Anthony Wilson2, Robin Litten3
1University of Missouri, Kansas City, USA. dalcaideamador@gmail.com.
概括
骨开放缩减内部固定 (ORIF) 后的重新手术影响了近25%的患者,特别是患有骨质疏松症,糖尿病或吸烟的患者. 更高的BMI可能会降低固定失败的风险,这表明需要量身定制的手术方法.
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
- 生物医学工程 生物医学工程
背景情况:
- 骨骨折是需要手术干预的常见伤害.
- 开放缩减内部固定 (ORIF) 是一个标准的治疗骨骨折.
- 鉴定关节ORIF后重新手术的风险因素对于改善患者的治疗结果至关重要.
研究的目的:
- 为了确定患者和受伤的特征,与 patella ORIF后的重新手术相关.
- 确定影响固定失败,症状性植入物切除和骨折相关感染的因素.
主要方法:
- 在2012年至2022年期间,对251名接受了骨ORIF (AO/OTA 34) 的患者进行了回顾性审查.
- 人口,伤害和操作变量的收集.
- 单变量和多变量分析以确定重新操作的预测因素.
主要成果:
- 22.3%的患者需要重新手术,最常见的是固定失败.
- 骨质疏松症,糖尿病和烟草使用在重新手术组中明显更为普遍.
- 男人性别,糖尿病和骨质疏松症独立地与固定失败有关;更高的BMI显示有保护作用.
结论:
- 骨ORIF后的重复手术率很高,特定患者的并发症增加了风险.
- 骨质疏松症,糖尿病和吸烟是并发症的主要危险因素.
- 为高风险患者推个性化手术规划和管理策略.
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