扣固定与拥抱固定对于综合性损伤的结果
Zhen Lu Cao1, Zhen Hua Fang2, Chen Han Wang1
1Department of Hand, Foot and Microsurgery, The Affiliated Hospital of Qingdao University, Qingdao, China.
Journal of orthopaedic surgery and research
|December 31, 2025
概括
拥抱固定 (EF) 技术和扣固定 (SF) 在骨骨折中的综合性损伤方面表现出类似的有效性. 这两种方法都提供了出色的临床和放射性结果,并有相似的并发症率.
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
- 放射学 放射学是一门学科.
背景情况:
- 脚骨折中的综合性损伤需要有效的稳定.
- 对比拥抱固定 (EF) 和扣固定 (SF) 对于优化治疗至关重要.
- 评估减少质量,功能评分和并发症是关键.
研究的目的:
- 为了比较EF与SF对综合性损伤的临床和放射性结果.
- 为了评估术后CT评估的减少质量.
- 为了评估功能评分和并发症率.
主要方法:
- 从2021年1月到2023年1月,对148名患者 (86名EF,62名SF) 的回顾性队列研究.
- 术前和术后的评估包括放射,3D-CT,AOFAS,OMA和VAS分数.
- 主要结局:在最后的随访时,AOFAS后脚得分. 第三级证据.
主要成果:
- EF和SF两组都取得了优异的临床结果,在AOFAS,OMA或VAS得分上没有显著差异.
- 手术后的CT显示了两组的低衰减率.
- 并发症的发生率相似,主要是轻微的软组织刺激.
结论:
- 拥抱固定 (EF) 和扣固定 (SF) 在骨骨折中的综合性稳定中同样准确和有效.
- 这两种技术都产生了出色的放射学和临床结果.
- 在管理综合性创伤方面,EF提供了与SF相当的结果.
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