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远端骨开放缩小和内部固定后的短期并发症

Sashrik Sribhashyam¹, Grayson M Talaski², Shahabeddin Yazdanpanah³

¹Virginia Commonwealth University School of Medicine, Richmond, VA, USA.

JSES international

|February 24, 2026

概括

开放式减轻和内部固定 (ORIF) 对于远端骨骨折 (DHFs) 显示了较低的短期并发症率. 然而,年龄较大,吸烟和手术时间超过97分钟会增加不良事件的风险.

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

背景情况:

远端骨骨折 (DHFs) 约占成人骨折的2%.
非手术治疗可能会导致功能缺陷;因此,开放式减少和内部固定 (ORIF) 是常见的DHFs的初级治疗方法.
虽然ORIF提供了令人满意的结果,但并发症率可能高达30%,需要对孤立的ORIF结果进行分析.

研究的目的:

为了分析短期的术后并发症,特别是在DHFs的ORIF之后.
为了确定与DHF ORIF后不良事件相关的风险因素.

主要方法:

使用美国外科医生学院国家外科质量改进计划数据库,查询DHFORIF的CPT代码24579.
排除了缺少数据和分析结果的患者,包括手术部位感染,伤口脱光,返回手术室 (ROR) 和任何不良事件 (AAE).
采用多变量后勤回归和值分析来确定危险因素和并发症的操作时间值.

主要成果:

分析了833名接受DHFORIF治疗的患者队列,在30天内AAE总比率为5.2%.
手术部位感染,ROR和伤口脱落率低于2%.
增加的年龄 (OR=1.03),手术时间 (OR=1.01),住院时间 (OR=1.2) 和吸烟 (OR=2.07) 是AAE的重要危险因素. 确定了97.1分钟的手术时间值,超过这一点后的并发症率显著上升 (7.8%与1.4%相比).

结论:

对DHF的ORIF显示了有利的短期并发症率.
患者的年龄,吸烟状况和长时间的手术时间 (特别是超过97分钟) 是与AAE风险增加相关的重要因素.
建议针对性患者咨询和进一步研究,以完善对DHF ORIF结果的理解.

关键词:

复杂化复杂化复杂化复杂化数据库数据库数据库是一个数据库.远距离的远距离的脊椎骨 (Humerus) 是一个非常重要的部位.这里是ORIF ORIF.开放式减速和内部固定.

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