围绕延伸块钉钉技术的临床和放射性结果,用于骨杆手指
Raphael Israeli1, Tomer Cohen2, Gil Gannot1
1Orthopedic Surgery, Kaplan Medical Center, Rehovot, ISR.
Cureus
|January 26, 2026
概括
这项研究评估了针对子手指骨折的修改后的围绕延伸块钉钉技术. 虽然它提供了稳定的固定,没有并发症,但与标准方法相比,它没有改善功能结果.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 创伤外科 手术 创伤外科
背景情况:
- 带有大背部碎片的小指骨折和远端间关节 (DIPJ) 脱往往需要手术治疗.
- 目前的固定方法旨在为这些复杂的骨折提供稳定性并促进愈合.
研究的目的:
- 为了评估修改后的围绕延伸块钉钉技术对子手指骨折的临床结果.
- 评估该技术在增强背部碎片压缩和最大限度地减少K线迁移方面的有效性.
主要方法:
- 一项回顾性队列研究包括17名患者,他们在5年内接受了包裹技术治疗.
- 结果使用克劳福德的标准进行评估,并与历史对照进行比较.
- 分析了人口统计,临床和放射数据.
主要成果:
- 包裹技术证明了异常稳定的固定,没有术后并发症 (0/17).
- 综合优秀/良好的结果率为41.1% (7/17).
- 没有观察到硬件故障或减速损失.
结论:
- 包裹式延伸块钉钉技术可提供可靠的,无并发症的固定手指骨折.
- 功能性结果并不优于标准的延伸块钉定,这表明年龄和骨折严重程度是关键因素.
- 当结构稳定性至关重要时,这种技术是一种可行的替代方案.
相关概念视频
Local Anesthetics: Clinical Application as Surface, Infiltration, and Conduction Block Anesthesia
1.9K
Depending on the target organ, local anesthetics (LAs) can be administered via various routes. In surface anesthesia, LAs are applied directly to the surface of the skin or mucous membranes. It is widely used for topical skin numbing before venipuncture or minor surgical procedures. Commonly used surface local anesthetics are lidocaine or benzocaine sprays or creams. Surface anesthesia occurs within 5 minutes and lasts for about 60 minutes. One of the main disadvantages of topical anesthesia is...
1.9K
Euler's Formula for Pin-Ended Columns
700
In structural engineering, the stability of columns under compressive axial loads is a critical consideration, described as buckling. A typical example involves a column PQ, which is pin-connected at both ends and subjected to a centric axial load F applied at one end, with a reaction force of F' = -F at the other end. Here, it is crucial to understand that when an applied load exceeds the critical load, buckling occurs as the system becomes unstable.
To calculate the critical load, envision...
To calculate the critical load, envision...
700
Predicting Reaction Outcomes
10.4K
Kinetics describes the rate and path by which a reaction occurs. In contrast, thermodynamics deals with state functions and describes the properties, behavior, and components of a system. It is not concerned with the path taken by the process and cannot address the rate at which a reaction occurs. Although it does provide information about what can happen during a reaction process, it does not describe the detailed steps of what appears on an atomic or a molecular level. On the other hand,...
10.4K
Outcomes of Glycolysis
106.8K
Nearly all the energy used by cells comes from the bonds that make up complex organic compounds. These organic compounds are broken down into simpler molecules, such as glucose. As a result, cells extract energy from glucose over many chemical reactions—a process called cellular respiration.
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
Cellular respiration can occur aerobically (with oxygen) or anaerobically (without oxygen). In the presence of oxygen, cellular respiration starts with glycolysis and continues with pyruvate...
106.8K
Muscles of the Forearm that Move the Hand and Fingers
2.5K
The muscles of the forearm that move the wrist, hand, and digits are numerous and diverse. They can be classified into two groups based on their location and function — the anterior and posterior compartment muscles.
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
Anterior Compartment
The anterior compartment muscles originate from the humerus. They primarily function as flexors and are also known as flexor muscles. They typically insert on the carpals, metacarpals, and phalanges. The superficial layer includes the flexor carpi...
2.5K
Guidelines for Writing Outcome
3.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.7K


