Ultrasound guidance in the surgical removal of internal fixators after complete healing of limb fractures.

IF 1.6 3区 医学 Q2 SURGERY
Jiachun Li, Lujing Li, Yanqing Hu, Shenghui Huang, Peng Cui, Junming Wan, Tao Shu, Wenfen Liu
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引用次数: 0

Abstract

Purpose: The aim of this study was to determine whether ultrasound guidance can reduce the duration, blood loss volume and invasiveness of surgery for internal fixator removal.

Methods: The clinical data from 35 adults patients who underwent ultrasound-guided surgical removal of internal fixators after complete healing of limb fractures between June 2019 and April 2023 were retrospectively analysed and compared with those from 34 controls who underwent the procedure without ultrasound guidance. Data concerning the patients' demographic and clinical characteristics and surgical sites were collected. Differences in the patients' demographic and clinical characteristics were compared between the two groups.

Results: Sixty-nine patients were enrolled in the study. Thirty-five patients underwent surgical removal of internal fixators with ultrasound guidance, and the average intraoperative blood loss volume was 15.17 ± 18.54 ml, average difference between the incision length and scar length was 4.24 ± 1.38 cm, average operation time was 60.66 ± 24.30 min, and average ultrasound assessment time was 10.00 ± 3.90 min. Thirty-four patients underwent surgical removal of internal fixators without ultrasound guidance, and the average blood loss volume was 46.76 ± 90.74 ml, average difference between the incision length and scar length was 2.68 ± 1.04 cm, and average operation time was 80.15 ± 58.84 min. The difference between the incision length and scar length was significant (P < 0.01), as was the difference in the intraoperative blood loss volume (P < 0.05) between the two groups.

Conclusion: Ultrasound is a convenient, noninvasive, radiation-free technique that allows dynamic scanning of multiple sections regardless of patient position. Ultrasound-assisted removal of internal fixators might reduce bleeding and therefore the invasiveness of the procedure. Physicians can use ultrasound for preoperative patient positioning, intraoperative monitoring, and postoperative confirmation of complete removal of internal fixators if necessary.

肢体骨折完全愈合后,超声引导手术取出内固定物。
目的:本研究旨在探讨超声引导下内固定架取出术是否能缩短手术时间、减少出血量和减少手术的侵入性。方法:回顾性分析2019年6月至2023年4月期间35例成人肢体骨折完全愈合后接受超声引导下手术取出内固定物的临床资料,并与34例未接受超声引导的对照组进行比较。收集患者的人口学、临床特征和手术部位等资料。比较两组患者人口学及临床特征的差异。结果:69例患者入组研究。超声引导下手术取出内固定架35例,平均术中出血量15.17±18.54 ml,切口长度与疤痕长度平均差4.24±1.38 cm,平均手术时间60.66±24.30 min,平均超声评估时间10.00±3.90 min。无超声引导下手术取出内固定架34例。平均失血量46.76±90.74 ml,切口长度与疤痕长度平均差2.68±1.04 cm,平均手术时间80.15±58.84 min,切口长度与疤痕长度差异有统计学意义(P)结论:超声是一种方便、无创、无辐射的技术,无论患者体位如何,都可以动态扫描多个切片。超声辅助下内固定物的移除可能会减少出血,从而减少手术的侵入性。医生可以使用超声进行术前患者定位、术中监测和术后确认必要时内固定器的完全移除。
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来源期刊
BMC Surgery
BMC Surgery SURGERY-
CiteScore
2.90
自引率
5.30%
发文量
391
审稿时长
58 days
期刊介绍: BMC Surgery is an open access, peer-reviewed journal that considers articles on surgical research, training, and practice.
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