用多种固定技术治疗的中侧大骨骨折:一个案例系列
Santosh D Ghoti1, Akshay D Punekar2, Jaideep Das1
1Department of Orthopaedics, Grant Government Medical College and Sir JJ Group of Hospitals, Mumbai, Maharashtra, India.
Journal of orthopaedic case reports
|February 11, 2026
概括
在儿科患者中,手术固定中部表皮骨骨折导致高结合率和优秀的功能结果. 不同的固定方法,包括K线和螺丝,对于移位或不稳定的骨折是有效的.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 创伤学 创伤学 创伤学
背景情况:
- 中间表皮骨骨折在儿童中很常见,通常与肘部脱有关.
- 流离失所骨折的管理是有争议的,非手术治疗可能会导致失业.
- 与非手术方法相比,手术固定显示出明显更高的结合率.
研究的目的:
- 介绍了五名儿科患者的结果,这些儿科患者中部表骨折经过了各种手术固定技术的治疗.
- 突出与不同固定方法相关的管理考虑和功能结果.
主要方法:
- 在5名患有急性中枢表骨骨折的患者 (年龄在15-70岁) 上进行了开放式缩小和内部固定.
- 固定方法包括K线,管式无螺丝,抗滑板或它们的组合.
- 手术后的不动化时间为2-4周,随后进行物理治疗.
主要成果:
- 所有的骨折在大约12周内实现了合并,具有出色的功能恢复和运动范围.
- 梅奥肘部和QuickDASH分数表明残疾最小和优秀的功能结果.
- 没有观察到非工会,深层感染,慢性不稳定或生长停止.
结论:
- 不同的手术固定策略可以有效地治疗中间表骨折,根据碎片大小和损伤模式量身定制.
- 刚性固定允许早期调动和可靠的结合,而K线适用于较小的碎片.
- 审慎的手术固定促进了结合,恢复了稳定性,并使移位或不稳定的骨折能够迅速恢复活动.
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