儿科近腰骨折的非手术与手术治疗:手术没有临床或经济效益,对152名儿童进行了回顾性研究
Tosca Cerasoli1, Marina Magnani2, Marco Todisco2
1II Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, 40136 Bologna, Italy.
Children (Basel, Switzerland)
|January 28, 2026
概括
非手术治疗对于儿科近腰骨折 (PHFs) 是有效的,产生了很好的结果. 对PHF进行手术是昂贵的,与保守护理相比,它没有功能上的优势.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 创伤学 创伤学 创伤学
背景情况:
- 儿科近腰骨折 (PHF) 具有显著的重塑潜力,有利于非手术治疗.
- 尼尔-霍罗维茨III-IV级PHF的外科干预正在增加,尽管支持其优越性的证据有限.
研究的目的:
- 评估与非手术与手术治疗相关的功能性结果和成本,对儿科近腰骨折的近腰骨折.
- 为了比较PHFs治疗方式之间的康复,恢复运动和并发症率.
主要方法:
- 在2004年至2023年期间对152名患有孤立PHF的儿童 (<14岁) 进行了回顾性分析.
- 数据收集包括骨折分类,管理,并发症和功能结果 (QuickDASH,Tegner,回到运动).
- 直接成本分析比较保守和手术治疗途径.
主要成果:
- 非手术治疗 (133名患者) 取得了很好的结果,QuickDASH得分正常,肩膀功能完全正常.
- 在非手术和手术组之间,Neer III-IV骨折 (37名患者) 的结果在非手术和手术组之间是相似的.
- 手术治疗的成本显著增加 (7,832.12欧元与1452.09欧元) 并与轻微的短暂并发症有关.
结论:
- 儿科PHF显示一致优秀的长期结果,无论骨折的严重程度或治疗.
- 对PHF的手术不会改善恢复,功能或恢复运动,而且会增加成本.
- 对于大多数儿科PHF来说,保守的治疗应该是标准的,将手术保留给特定的复杂病例.
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