保守治疗的老年人桡骨远端关节外骨折--功能结果

Rohit Ranjolkar, Rajesh Sajjanshetty
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引用次数: 0

摘要

人口老龄化与桡骨远端骨折发生率的增加有关,这是一个影响许多人的骨科问题。矫形外科医生在治疗某些类型的骨折(包括发生在关节外的桡骨远端骨折)时需要特别关注。因此,我们开始在老年人样本中比较传统石膏固定法和经皮穿刺固定法的疗效。2021 年 6 月 1 日至 2022 年 6 月 1 日,比达医学科学研究所的研究人员进行了一项前瞻性随机试验。30名患者接受了石膏固定和闭合复位术,31名患者接受了经皮K线闭合复位术。患者在随后的每次随访中都接受了临床检查和 X 光检查。结果显示,与另一组患者相比,接受闭合复位K线固定术的一组患者的活动范围、VAS评分和桡骨长度损失都更大。观察两组患者的 Saito 图表和 Lindstrom 标准发现,这一点也很明显。有 13% 的患者在接受 K 型钢丝固定后出现了针道感染,但在拆除钢丝后感染症状消失。这是手术中唯一的严重副作用。在治疗移位的桡骨远端骨折时,最好、最安全、最无并发症的方法是经皮 K 型钢丝固定闭合复位术。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Extra-articular distal end radius fractures in elderly treated conservatively- functional outcome
An ageing population is associated with an increase in the frequency of distal radius fractures, an orthopaedic problem that affects many people. Orthopaedic surgeons have special concerns while treating some types of fractures, including those involving the distal end of the radius that occur outside of the joint. For this reason, we set out to compare the efficacy of conventional cast methods with that of percutaneous pinning in a sample of older adults. From June 1, 2021 to June 1, 2022, researchers from Bidar Institute of Medical Sciences, Bidar, conducted a prospective, randomised trial. Thirty patients underwent cast immobilisation and closure reduction. thirty-one patients underwent closed reduction with percutaneous K wires. The patients underwent a clinical examination and X-rays at each subsequent follow-up. The results showed that the group that had closed reduction K-wire fixation had greater range of motion, VAS scores, and loss of radial length compared to the other group. When looking at the Saito chart and Lindstrom's criterion findings for both groups, it was also evident of this. In 13% of patients, a pin tract infection developed following K-wire fixation but went away after the wires were removed. This was the sole serious side effect of the procedure. When treating displaced, distal end radius fractures, the best, safest, and most complication-free method is closed reduction with percutaneous K-wire fixation.
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