在复杂的近亲骨骨折中使用圆柱状螺丝支的上上钉:从一系列案例中获得的技术经验
R S Boobathi Raja1, A R Ramaswamy1, S Sivamurugan1
1Department of Trauma Surgery, Soundarapandian Bone and Joint Hospital and Research Institute, Chennai, Tamil Nadu, India.
Journal of orthopaedic case reports
|January 16, 2026
概括
使用状螺丝进行的超状内钉,为复杂的靠近骨骨折提供了最少的侵入性解决方案,实现了良好的功能结果和没有重大并发症的结合.
科学领域:
- 整形外科手术 整形外科手术
- 创伤管理 创伤管理
背景情况:
- 复杂的关节内近骨骨折 (Schatzker V-VI) 存在管理方面的挑战.
- 传统的涂层可能会导致感染和软组织损伤.
- 上内钉 (IMN) 提供了一种不那么侵入性的方法.
研究的目的:
- 为了评估复杂的靠近骨骨折,用状螺丝对上皮上IMN的疗效.
- 评估放射性结合,功能恢复和并发症.
主要方法:
- 10名成年患者的前景病例系列,Schatzker V-VI靠近骨骨折.
- 所有人都经历了横向至中间状螺丝的上IMN.
- 12个月的随访,评估联盟,对齐,LEFS和ROM.
主要成果:
- 所有10个骨折在14.3周实现了放射性结合.
- 膝盖的平均运动范围为125°.
- 70%的患者在12个月后具有最小的功能限制 (LEFS ≥64).
- 没有发生感染,不结合或植入失败.
结论:
- 带有状螺丝的上状IMN是一种可靠的,最小入侵的技术.
- 它提供了稳定的固定,早期动员和良好的功能结果.
- 建议对更大的队列进行进一步的研究.
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