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在不稳定的老年人脚骨折中,内螺旋钉与开放缩减内部固定相比:系统性审查和元分析

Mckenzie D Brandt¹, Vraj Amin¹, Samuel Hovland¹

¹College of Medicine, University of Central Florida, Orlando, FL, USA.

Journal of orthopaedics

|December 4, 2025

概括

在老年脚骨折中,肌内骨钉 (IMFN) 显示了较低的表面感染率,相比于开放缩减内部固定 (ORIF). 这种微创手术对于老年患者来说是一个可行的选择,特别是那些感染风险较高的患者.

科学领域:

整形外科手术整形外科手术
老年创伤的治疗方法
基于证据的医学基于证据的医学.

背景情况:

老年人的脚脆弱性骨折带来了独特的外科手术挑战.
开放的减少内部固定 (ORIF) 是标准的,但肌内长钉 (IMFN) 提供了一个最小侵入性的替代方案.

研究的目的:

为了比较老年骨骨折的IMFN和ORIF之间的术后并发症和再干预率.

主要方法:

一个系统的审查和对比IMFN和ORIF在65岁以上的患者的研究的元分析.
搜索了多个数据库,包括PubMed,科学网和柯克兰图书馆.
从符合条件的研究中汇集数据的定量元分析.

主要成果:

包括13项研究,包括421例IMFN病例;整体并发症率为<5%.
对五项比较研究的元分析显示,在修订,恶性结合,非结合或血栓形成方面没有显著差异.
与ORIF相比,IMFN的术后伤口感染率 (特别是表面感染) 显着较低.

结论:

骨髓内长钉 (IMFN) 是老年脚骨折的一个有前途的固定方法.
在个性化患者护理中应考虑这种情况,特别是对于那些感染风险增加的人来说.
与ORIF相比,IMFN可以降低表面伤口感染的风险.

关键词:

脚骨折脚骨折在脚骨折年长的老人.长腿钉钉钉的钉子内固定内固定内固定骨科创伤的创伤情况术后并发症术后并发症

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