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术后固定与早期动员在儿科双骨前臂骨折中的弹性钉钉后:一个回顾性比较研究:
Süleyman Kozlu1, Bilgehan Ocak1, Barış Görgün2
1Department of Orthopaedics and Traumatology, Faculty of Medicine, Kütahya Health Sciences University, Kütahya, Türkiye.
针对儿科前臂骨折的弹性稳定内钉 (ESIN) 后的早期动员是安全有效的. 术后 splinting 不是必要的,因为早期的运动不会阻碍愈合或功能.
科学领域:
- 儿科整形外科 儿科整形外科
- 创伤学 创伤学 创伤学
- 外科手术的结果
背景情况:
- 儿科的两骨前臂骨折是常见的伤害.
- 弹性稳定内钉 (ESIN) 是一种标准的手术治疗方法.
- 经手术后的管理,包括 splinting 和早期动员,是有争议的.
研究的目的:
- 为了比较1年 splint固定与早期动员后ESIN的放射和功能结果,用于儿科半身前臂骨折.
主要方法:
- 对124名儿童 (6-14岁) 进行了回顾性分析,其中124名儿童中腹膜半径-骨骨折关闭,接受了ESIN治疗.
- 患者被分为两组,分别使用了 (n=64) 和不使用 (n=60).
- 通过Lane-Sandhu得分评估放射治疗;通过价格分类在3,6个月和12个月的功能结果.
主要成果:
- 在12个月后,群体之间在放射治疗 (Lane-Sandhu分数) 或功能结果 (价格分类) 中没有统计学上显著的差异.
- 在3个月后, splint组的放射评分略高,但功能结果有利于早期动员.
- 在12个月内,在所有患者中实现了完整的结合和卓越的功能恢复.
结论:
- 儿童前臂骨折的ESIN后的早期动员是可行的,并且不会对骨愈合或功能产生负面影响.
- 常规的术后 splinting 可能是不必要的,允许量身定制的病人护理.
- 当ESIN原则被正确应用时,可以确保优秀的结果,无论选择的患者是否使用术后 splint.
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