验证Clavien-Dindo分类系统的复杂性后的开放缩小和内部固定远半径断裂的复杂性
Alexis Driscoll1, Gabriella Schreiner2, Stephen Fucaloro3
1Tufts Medical Center, Boston, MA, USA.
概括
这项研究使用修改的Clavien-Dindo尺度 (mCD-DR) 对远半径骨折的开放缩减和内部固定 (ORIF) 的并发症进行了分类. 在分级并发症方面,mCD-DR被证明是可靠的,其中3级是最常见的.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 手术结果研究研究.
背景情况:
- 远距离半径骨折是需要手术干预的常见伤害.
- 开放式减少和内部固定 (ORIF) 是这些骨折的标准治疗方法.
- 在ORIF之后的并发症可能会影响患者的治疗结果和医疗费用.
研究的目的:
- 为了分类与远距离半径相关的并发症ORIF.
- 确定导致这些并发症的风险因素.
- 为了验证修改的Clavien-Dindo尺度 (mCD-DR) 用于对ORIF并发症进行分级.
主要方法:
- 160名接受远端半径ORIF的患者的回顾性审查.
- 数据收集包括人口统计,并发症,手术持续时间和并发症.
- 并发症被两位盲目审稿人使用mCD-DR尺度进行分级;通过科恩卡帕系数评估评审者之间的可靠性.
- 后勤回归确定了并发症的预测因素.
主要成果:
- 在60名患者 (37.5%) 中,共发生67例并发症.
- 最常见的并发症是硬件移除 (22.7%),手腕注射 (17.3%) 和硬 (9.3%).
- 预测并发症的因素包括较长的手术,中度的查尔森并发症指数,年龄较大和全身麻醉.
结论:
- 在mCD-DR尺度可靠地分类远半径ORIF后的并发症,与高interrater协议.
- 3级并发症是最常见的,强调需要谨慎管理.
- 了解风险因素可以帮助优化患者选择和手术规划.
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