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儿童完全移位和旋转侧侧骨骨折的结果:一个多中心研究.
Jake H Goldfarb1, Rohit Siddabattula1, Daniel E Pereira1
1Department of Orthopaedic Surgery, WashU Medicine, St. Louis, MO.
Journal of pediatric orthopedics
|December 9, 2025
概括
曲 V 侧骨骨折的结果在开放式减少和皮肤穿 (ORPP) 和开放式减少和螺丝固定 (ORSF) 之间是可比的. 感染率较高的ORPP,和封闭的减少可能是一个可行的替代方案.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 创伤外科手术是什么
背景情况:
- 曲V侧骨骨折涉及移位和旋转的碎片.
- 历史上用开放式减少和穿皮钉 (ORPP) 或螺丝固定 (ORSF) 进行治疗.
研究的目的:
- 为了描述五曲骨折的结果.
- 分析固定和减少类型对结果的影响.
主要方法:
- 在1至12岁的儿童中,对281个曲V骨折进行了回顾性审查.
- 从6个1级创伤中心 (2005-2019) 收集的数据.
- 评估了放射性愈合和并发症 (非结合,硬,感染).
主要成果:
- 在大约2%的患者中,发生了非联合和深层感染.
- 在ORSF和ORPP之间,关于愈合,非联合和度的结果是可比的.
- 观察到ORPP的感染率增加 (K-wire组的所有12种感染).
- 与开放的减少相比,封闭的减少显示出潜在的感染和硬率较低.
结论:
- 这是迄今为止对五曲骨折的最大分析.
- ORSF和ORPP表现出相似的结果,ORPP与更高的感染风险相关.
- 封闭缩减可能不低于开放缩减,需要进一步调查.
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