在没有内部固定的情况下进行开放式减小和稳定,用于治疗偏移的辐射部骨折
Shu Yoshizawa1, Hideaki Ishii1, Misato Sakamoto1
1Department of Orthopedic Surgery, Toho University Ohashi Medical Center, Tokyo, JPN.
Cureus
|January 21, 2026
概括
这项研究表明,没有内部固定的开放减小和稳定可以有效地治疗成人和儿童的偏移辐射部骨折. 该技术导致了良好的骨结合和功能恢复,避免了与传统方法相关的并发症.
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
- 儿科整形外科 儿科整形外科
背景情况:
- 辐射部骨折是儿科和成年人群中不常见的伤害.
- 目前的治疗方法,如内部固定带有诸如神经麻等风险,需要移除硬件.
- 没有内部植入物的稳定固定方法是可取的.
研究的目的:
- 为了评估开放式减小和稳定在不使用内部固定的情况下对移位的辐射部骨折的疗效.
- 评估这种非植入物技术的临床和放射性结果.
主要方法:
- 八名患有辐射部骨折的患者接受了使用子进行开放缩小,以纠正位移.
- 不稳定性是通过人工骨移植替代品来管理的,随后是两周的造固定.
- 骨折角度和翻译被评估为手术前和手术后.
主要成果:
- 所有患者在手术后立即成功维持了解剖位置.
- 平均骨结合发生在62.1-80.3天之间,功能恢复良好 (平均QuickDASH得分为1.1).
- 没有观察到错位,神经麻或无血管缩等并发症.
结论:
- 在没有内部固定的情况下进行开放式减小和稳定,可以在移位的辐射部骨折中获得令人满意的结果.
- 术前稳定性至关重要;对于不稳定性,建议进行人工骨移植.
- 这种技术为内部固定提供了可行的替代方案,最大限度地降低了相关风险.
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