靠近排骨切除术与开放式缩减和内部固定在晚期呈现的周围位脱位
Francesco Smeraglia1, Andrea Poggetti2, Francesca Crisci1
1Department of Orthopaedic and Traumatology, University of Naples, Naples, Italy.
Hand surgery & rehabilitation
|January 25, 2026
概括
与开放式缩减和内部固定 (ORIF) 相比,近端排列切除术 (PRC) 提供了较快的晚期周围膜损伤的早期恢复. 长期的结果是相似的,PRC在早期缓解疼痛和手腕曲方面表现出色.
科学领域:
- 整形外科手术 整形外科手术
- 手部创伤手的创伤
- 手腕受伤 手腕受伤
背景情况:
- 围位移和骨折位移是严重的手腕损伤,通常是由于高能量的创伤造成的.
- 及时治疗对于预防长期并发症至关重要,但对于晚期呈现的最佳管理仍在争论中.
研究的目的:
- 为了比较近端排列切除术 (PRC) 与开放式缩减和内部固定 (ORIF) 的临床结果,用于晚出现的状损伤.
主要方法:
- 追溯性对照性研究,对27名患有膜损伤的患者进行了追溯性比较研究,损伤后4周.
- 患者接受了PRC或ORIF.
- 评估的结果包括DASH评分,VAS疼痛评分,运动范围和手握强度在手术后的3,6和12个月.
主要成果:
- 无论是PRC还是ORIF,都显著改善了疼痛和功能.
- 3个月后,PRC的残疾 (DASH) 和疼痛 (VAS) 分数低于ORIF.
- 在12个月后,结果是相似的,PRC产生了更大的手腕曲和ORIF更大的握力.
结论:
- PRC是晚期膜性损伤的可行选择,提供更快的早期恢复.
- 中国提供与ORIF相比较的长期功能成果.
- PRC在早期缓解疼痛和腕曲方面表现出优势,而ORIF可能会产生更强的握力.
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