锁定板与或没有圆形增强与板对尼尔 II 型距离关节骨骨折的锁定板:一个单中心的回顾性队列
1Department of Orthopedic Surgery, Hospital of Chung-Ang University of Medicine, Dongjak-gu, Seoul 06973, Republic of Korea.
带有 cerclage 增强的远端锁定板提供了与 Neer II 类型关节骨骨折的板相似的结合率和功能结果,同时避免了下层并发症.
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
- 骨固定装置是指骨的固定装置.
背景情况:
- 不稳定的远关节骨骨折 (Neer II型) 具有很高的非结合风险,往往需要手术干预.
- 板在远端关节骨折中很常见,特别是小或碎碎的碎片,但有潜在的刺激和磨损的风险.
- 带有 cerclage 增强的远端锁定板提供了一种替代的固定方法,有可能减少与植入物相关的并发症.
研究的目的:
- 为了比较Neer II型远关节骨骨折的临床和放射性结局,板与带有或没有带有 cerclage 增强的远关节锁板的临床和放射性结局.
- 为了评估两种固定方法之间的并发症率,放射性结合,肩膀运动范围,疼痛和功能得分.
主要方法:
- 一个单一中心的回顾性队列研究回顾了Neer II型远关节骨骨折的成年患者,这些患者接受了开放缩减和内部固定治疗.
- 患者被分为两组:板固定 (n=16) 和远端锁板与或没有 cerclage 增强 (n=26).
- 随访时间至少为6个月,评估主要结果 (并发症,结合,ROM) 和次要结果 (疼痛,功能评分).
主要成果:
- 两组均表现出高的放射性结合率 (锁板:92.3%,板:87.5%),并发症率相似 (p=0.612).
- 两组之间的功能结果和肩部运动范围是可比的,尽管锁定板组的前向曲趋势更高.
- 在25%的板患者中观察到亚色磨损,但在锁板组中没有,没有报告深层感染或硬件故障.
结论:
- 板和远端锁板 (带有或不带有圆圈) 实现了高结合率和令人满意的功能,用于Neer II型远端关节骨骨折.
- 远端锁板避免了与板相关的亚层并发症,使它们成为可靠的第一线选择.
- 板应保留在最小的远端骨库或复杂碎片化的情况下,锁定板的购买是不可能的.
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