关节外股骨远端骨折患者延迟骨合成对骨愈合的影响

Q2 Medicine
Medical Journal of the Islamic Republic of Iran Pub Date : 2024-03-06 eCollection Date: 2024-01-01 DOI:10.47176/mjiri.38.25
Hamed Tayyebi, Sajad Noorigaravand, Mohammad Reza Baheaddini, Elham Mohammadyahya, Ava Parvandi, Saeid Shirvani, Ali Yeganeh
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引用次数: 0

摘要

背景:在股骨远端关节外骨折(EDFFs)中,不愈合是一种很少发生的严重并发症。在这项研究中,我们探讨了通过延迟骨合成(OS)来延长初始骨折血肿的保留时间对骨折愈合的影响:在一项回顾性队列研究中,共纳入了 98 名 EDFF 患者。方法:这项回顾性队列研究共纳入98例EDFF患者,其中50例患者(早期OS组)在受伤后2天内进行了OS,48例患者(晚期OS组)在受伤后2天后进行了OS。对两组患者的胼胝形成和骨折结合时间、出血量、手术时间、疼痛、膝关节活动范围、膝关节功能以及术后并发症(包括未愈合、膝关节畸形、感染和翻修)进行比较。统计分析采用 SPSS 软件进行。两组间平均值的比较采用独立 t 检验或非参数检验。两组间分类变量的比较采用卡方检验或费雪精确检验。P˂0.05为差异有统计学意义:早期 OS 组胼胝形成的平均时间为 47.1 ± 17.3 天,晚期 OS 组为 46.9 ± 19.7 天(P = 0.950)。早期手术组骨折愈合的平均时间为(114.9 ± 21)天,晚期手术组骨折愈合的平均时间为(117.4 ± 28.8)天(P = 0.630)。两组的平均手术时间和出血量无明显差异(P = 0.230 和 P = 0.340)。膝关节活动范围、疼痛和功能无明显差异(分别为 P = 0.620、P = 0.790 和 P = 0.770)。早期 OS 组有 3 名患者发生了骨不连,晚期 OS 组有 2 名患者发生了骨不连。两组患者的其他并发症也相当:结论:EDFF患者延迟OA对骨愈合和骨折愈合无明显影响。结论:EDFF 患者的延迟 OA 对骨愈合和骨折愈合没有明显影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Impact of Delayed Osteosynthesis of Bone Healing in Patients with Extra-articular Distal Femoral Fracture.

Background: In extra-articular distal femoral fractures (EDFFs), nonunion is a serious complication that occurs rarely. In this study, we examined how longer preservation of initial fracture hematoma by delaying the osteosynthesis (OS) affects the fracture union.

Methods: In a retrospective cohort study, 98 EDFF patients were included. The OS was done within 2 days of injury in 50 patients (early OS group) and after 2 days of injury in 48 patients (late OS group). Time to callus formation and fracture union, bleeding amount, surgical duration, pain, knee range of motion, knee function, and postoperative complications, including the nonunion, knee deformity, infection, and revision, were compared between the 2 groups. Statistical analyses were done with SPSS. A comparison of the mean between the 2 groups was made with an independent t test or its nonparametric counterpart. A comparison of categorical variables between the 2 groups was made using a chi-square or the Fisher's exact test. P ˂ 0.05 was considered statistically significant.

Results: The mean time to callus formation was 47.1 ± 17.3 days in the early OS group and 46.9 ± 19.7 in the late OS group (P = 0.950). The mean time to fracture union was 114.9 ± 21 in the early OS group and 117.4 ± 28.8 days in the late OS group (P = 0.630). The mean operation time and bleeding amount between the 2 groups did not differ significantly (P = 0.230 and P = 0.340, respectively). The knee range of motion, pain, and function were not notably different (P = 0.620, P = 0.790, and P = 0.770, respectively). Nonunion occurred in 3 patients of early OS and 2 patients of the late OS group. Other complications were also comparable in the 2 study groups.

Conclusion: Delayed OA in EDFF patients has no significant effect on bone healing and fracture union. Future standard studies are required to confirm these results.

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来源期刊
CiteScore
2.40
自引率
0.00%
发文量
90
审稿时长
8 weeks
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