外部固定和辅助引脚与不稳定的远距离半径骨折中的伏拉锁板:随机对照研究,随访10年
John H Williksen1, Audun Tangerud1, Johan C Hellund2
1Division of Orthopaedic Surgery, Oslo University Hospital, Norway.
The Journal of hand surgery
|January 29, 2026
概括
伏拉锁板 (VLP) 和外部固定 (EF) 在不稳定的远半径骨折中显示出类似的长期临床结果. 然而,由于并发症,VLP的硬件删除率更高.
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
- 放射学 放射学是一门学科.
背景情况:
- 不稳定的远半径骨折需要有效的治疗来恢复功能.
- 伏拉锁板 (VLP) 和外部固定 (EF) 是常见的外科选择.
- 对这些治疗方法的长期比较数据至关重要.
研究的目的:
- 为了比较VLPs与EF在不稳定的远半径骨折中使用辅助针的10年疗效.
- 评估临床和放射性结果,并发症.
主要方法:
- 一个随机对照试验,涉及111名患有不稳定的远半径骨折的患者.
- 患者被分配到VLP或EF与辅助针.
- 临床评估包括疼痛评分,梅奥手腕评分,QuickDASH和10年随访时的运动范围.
主要成果:
- 在10年内,QuickDASH得分 (VLP:9,EF:10) 或其他临床结果没有显著差异.
- 在VLP中,辐射缩短较少;在C型骨折中,EF组的放射性关节炎较多.
- 由于硬件问题,有19名患者 (43%) 需要进行VLP切除.
结论:
- 在10年后,VLP和EF都为不稳定的远半径骨折提供了良好的临床结果.
- 对VLP的一个重大问题是硬件移除的高率.
- 进一步调查VLP并发症是有必要的.
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