EARLY PREDICTORS OF NON-UNION OF DIAPHYSEAL TIBIAL FRACTURES BASED ON SCORING SYSTEMS.

Q4 Medicine
Georgian medical news Pub Date : 2024-10-01
F Umarov, J Samatov
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引用次数: 0

Abstract

Introduction: The lack of standardization in the assessment of healing potential of diaphyseal tibial fractures in the early stages of treatment leads to late diagnosis of non-union, which requires the development of prognostic diagnostic criteria that take into account possible risk factors.

Objective: To analyze and evaluate the available scoring systems for predicting union and non-union of diaphyseal tibial fractures.

Methods: We searched for publications in Scopus (Elsevier), PubMed, Publons, Medline, RSCI, Google, and Google Scholar databases.

Results: Six systems for predicting the risk of non-union of tibial fractures were analyzed, 4 of which included clinical and surgical risk factors for non-union. The advantage of the scoring systems is the identification of interventional thresholds for early detection of non-union.

Conclusions: The Radiographic Union Scale for Tibia (RUST), the Tibia FRACTure prediction healING (FRACTING), the Leeds-Genoa Non-Union Index (LEG-NUT), and the Non-Union Scoring System (NUSS) are the most researched and recommended for clinical use. The Non-union Determination Score (NURD) and Tibial Fracture Healing Score (TFHS) systems require further evaluation.

基于评分系统的胫骨骨干骨折不愈合的早期预测因素。
引言:在治疗的早期阶段,对胫骨骨干骨折愈合潜力的评估缺乏标准化,导致骨不连的诊断较晚,这就需要制定考虑可能危险因素的预后诊断标准。目的:分析和评价现有的预测胫骨骨干骨折愈合和不愈合的评分系统。方法:我们在Scopus (Elsevier)、PubMed、Publons、Medline、RSCI、谷歌和谷歌Scholar数据库中检索出版物。结果:分析了6个预测胫骨骨折不愈合风险的系统,其中4个系统包含了胫骨骨折不愈合的临床和手术危险因素。评分系统的优势在于确定早期发现骨不连的介入阈值。结论:胫骨放射愈合量表(RUST)、胫骨骨折愈合预测量表(FRACTING)、Leeds-Genoa骨不连指数(LEG-NUT)和骨不连评分系统(NUSS)是目前研究最多并推荐临床使用的方法。骨不连确定评分(NURD)和胫骨骨折愈合评分(TFHS)系统需要进一步评估。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Georgian medical news
Georgian medical news Medicine-Medicine (all)
CiteScore
0.60
自引率
0.00%
发文量
207
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