微创钢板治疗桡骨远端骨折42例及文献回顾。

IF 1.3 Q3 SURGERY
Oryza Satria, Rio Wikanjaya, Christa Adriane Tenges, Muslich Idris Al Mashur
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引用次数: 1

摘要

桡骨远端骨折固定的手术技术越来越先进,包括微创钢板内固定(MIPO)。本研究旨在介绍和评估一种不同于以往报道的新型MIPO技术的功能结果。本研究包括42例桡骨远端骨折患者,他们接受了桡骨远端微创手术钢板。所有患者均行闭合复位,使用k针固定,随后在桡骨远端插入掌侧解剖角度稳定的短钢板。采用关节镜辅助评估和修复手术纠正关节内受累、三角纤维软骨复合体撕裂和舟月骨损伤。使用视觉模拟量表评分评估功能结果;手臂、肩膀和手的快速残疾得分;术后3个月随访时屈伸旋旋旋前旋活动度均有显著改善(p≤0.05)。本研究提供了一种简单而可靠的方法,结果可重复性和一致性,微创钢板闭合复位插入治疗桡骨远端骨折,所有患者均获得满意的临床结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Minimally Invasive Plating of Distal Radius Fracture: A Series of 42 Cases and Review of Current Literature.

Minimally Invasive Plating of Distal Radius Fracture: A Series of 42 Cases and Review of Current Literature.

Minimally Invasive Plating of Distal Radius Fracture: A Series of 42 Cases and Review of Current Literature.

Minimally Invasive Plating of Distal Radius Fracture: A Series of 42 Cases and Review of Current Literature.

Surgical techniques developed for distal radius fracture fixation have become increasingly advanced, including minimally invasive plate osteosynthesis (MIPO). This study aimed to introduce and evaluate the functional outcome of a novel MIPO technique that differs from previous reports. This study included 42 patients with distal radius fractures who underwent minimally invasive surgical plating of the distal radius. All patients were treated with closed reduction, fixation using K-wire, and subsequent insertion of a volar anatomical stable angle short plate on the distal radius. An arthroscopy-assisted evaluation and repair procedure were performed to correct intra-articular involvement, triangular fibrocartilage complex tears, and scapholunate injuries. Functional outcomes were assessed using a visual analog scale score; quick disabilities of the arm, shoulder, and hand score; and postoperative range of motion of flexion, extension, supination, and pronation at the 3-month follow-up, showing significant improvement in all parameters (all p ≤ 0.05). This study provides a simpler yet reliable method with reproducible and consistent results to treat distal radius fractures using minimally invasive plating with closed reduction and plate insertion, resulting in satisfactory clinical outcomes in all patients.

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来源期刊
CiteScore
3.00
自引率
0.00%
发文量
8
审稿时长
16 weeks
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