COVID-19患者上肢骨折的特殊性

P.V. Tanasiienko, Y.O. Skobenko
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引用次数: 0

摘要

背景。鉴于这一问题的新颖性,治疗COVID-19患者的骨折是现代创伤学和骨科最困难的任务之一。本研究的目的是确定在COVID-19背景下上肢骨折患者创伤过程的特殊性。材料和方法。为了开展我们的研究,我们回顾性分析了2019年至2021年在基辅一家城市医院接受住院治疗的136名创伤患者的治疗情况。在我们的研究中,我们采用普遍接受的AO/ASIF骨折分类来确定COVID-19患者损伤的临床和分类学特征。结果。在2019冠状病毒病流行期间,前臂远端骨折(28.8%)、锁骨骨折(17.8%)和肩关节近端骨折(15.1%)最为常见。在COVID-19患者的节段性损伤中,前臂骨折(占42.5%)和肩部骨折(占35.6%)占主导地位。单纯性A型骨折(72.6%)较为常见,B型碎片性骨折(21.9%)和C型多碎片性骨折(5.5%)较少。值得注意的是,在2019冠状病毒病大流行期间,手部受伤人数大幅减少了近七倍。我们认为,这是由于乌克兰当局采取的封锁措施,大大减少了研究样本中的工伤人数。结论。我们认为,新冠肺炎疫情显著影响了上肢腰带骨折的临床和疾病学结构及特征,病例分析证明,这种上肢腰带骨折的临床和疾病学结构的变化与疫情期间生活活动的变化有关,更典型的是家庭创伤。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Particularities of upper extremity fractures in patients with COVID-19
Background. Treatment of the fractures in patients with COVID-19, given the novelty of this problem, is one of the most difficult tasks of modern traumatology and orthopedics. The purpose of this study was to determine the peculiarities of the course of the traumatic process in victims with fractures of the upper limbs against the background of COVID-19. Materials and methods. To carry out our research, we retrospectively analyzed the treatment of 136 trauma patients who underwent inpatient treatment in one of the city hospitals of Kyiv from 2019 to 2021. In our study, we used the generally accepted AO/ASIF classification of fractures to determine the clinical and nosological characteristics of injuries in patients with COVID-19. Results. During the COVID-19 epidemic, fractures to the distal part of the forearm (28.8 %), clavicle (17.8%) and proximal part of the shoulder (15.1 %) were most often detected. Among segmental injuries in patients with COVID-19, forearm (in 42.5 % of cases) and shoulder (in 35.6 % of cases) fractures predominated. Also, simple fractures of type A (72.6 %) were more common, and much less fragmentary fractures of type B (21.9 %) and multifragmentary type C fractures (5.5 %) were present. It is worth noting a significant decrease in the number of hand injuries during the COVID-19 pandemic by almost 7 times. In our opinion, this is due to the lockdown introduced by the authorities of Ukraine, which significantly reduced the number of industrial injuries among the research sample. Conclusions. We concluded that the COVID-19 pande­mic significantly affected the clinical and nosological structure and characteristics of bone fractures of the upper limb girdle, the analysis of cases proved that such changes in the clinical and nosological structure of fractures of the upper limb girdle are associated with changes in life activities during the pandemic and more typical for domestic trauma.
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