越来越复杂和平稳的结果在AO类型C远部骨骨折:一个50年的机构案例系列
Karina Hönck1, Peter Wenzelburger2, Nicolas Eibinger2
1Department of Orthopaedics and Traumatology, Medical University of Graz, Auenbruggerplatz 5, 8036, Graz, Austria. k.hoenck@medunigraz.at.
概括
远端骨骨折变得越来越复杂,并影响老年患者. 虽然开放式缩减和内部固定 (ORIF) 显示出良好的结果,但功能限制仍然存在,这表明可以达到重建的极限.
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
- 骨的愈合 骨的愈合
背景情况:
- 远端骨骨折,特别是AO型C3的骨折,是复杂的伤害.
- 在具有高功能需求的老年患者中,发病率正在上升.
- 开放式减少和内部固定 (ORIF) 采用双柱板是标准的,但有并发症.
研究的目的:
- 评估50年来骨折复杂性,患者人口统计和功能结果的趋势.
- 将最近的队列 (2009-2018) 与历史数据 (1969-2008) 进行比较.
主要方法:
- 在五个10年队列 (1969-2018) 中对233名患者进行了回顾性分析.
- 骨折是AO类型C1-C3,用ORIF进行治疗.
- 使用Jupiter,Cassebaum,QuickDASH和梅奥肘部性能得分 (MEPS) 评估的功能性结果.
主要成果:
- 在最近的队列中,患者的平均年龄增加到62.6岁.
- AO型C3骨折的比例显著上升至71.4%.
- 在52.6%-73.7%的病例中,ORIF取得了良好至优异的结果,并发症为16.4%.
结论:
- 远端骨骨折涉及老年患者和随着时间的推移更复杂的AO类型C3模式.
- ORIF提供了令人满意的结果,但持续的运动缺陷表明重建的限制.
- 为了不断变化的患者群体和功能需求,需要进一步的研究.
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