在单一麻醉环境下采用前后联合方法处理复杂髋臼骨折的放射学和功能效果评估:一项回顾性研究。

IF 1.3 4区 医学 Q3 ORTHOPEDICS
HIP International Pub Date : 2024-11-01 Epub Date: 2024-09-23 DOI:10.1177/11207000241280571
Dharmendra Kumar, Narendra Singh Kushwaha, Mayank Mahendra, Sharad Verma, Ankit Sriwastava, Ashish Kumar, Kshitiz Arora, Vineet Sharma
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引用次数: 0

摘要

背景:对于涉及双柱的髋臼伴发骨折,如何选择合适的手术方法仍是一个难题。因此,本研究旨在评估采用前后联合入路(双入路)治疗的复杂髋臼骨折患者的生活质量,以及术后复位与患者报告结果之间的关联:这项回顾性研究的对象是42例双柱受累的髋臼骨折患者,这些患者在一次麻醉中接受了联合前路改良髂腹股沟入路和后路Kocher-Langenbeck(K-L)入路等双入路治疗,随访至少两年。术后缩窄和放射学结果采用 Matta 标准进行评估。功能结果采用 Merle d'Aubigné-Postel 开发的评分系统进行评估。患者报告结果采用 36 项简表调查(SF-36)进行评估:参与者的平均年龄为(47.9±11.95)岁,平均随访时间为(2.8±0.49)年。术后有 32 例(76.19%)实现了解剖学缩小。8例(19.04%)达到了同形缩小,2例(4.76%)未达到同形缩小。放射学和功能结果为优/良的病例有 35 例(83.33%)。患者报告的生理功能和角色生理方面的结果显示,6至24个月期间有明显改善(p 结论:双方法治疗复杂髋臼的效果非常好:双方法治疗复杂髋臼骨折的中期随访显示出良好至卓越的放射学和功能效果。在随访期间,患者报告的 SF-36 身体功能和角色体能方面的结果也有明显改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Assessment of radiological and functional outcomes of complex acetabulum fracture managed with combined anterior and posterior approach in a single anaesthetic setting: a retrospective study.

Background: Appropriate selection of surgical approach for associated fractures of the acetabulum that involves both columns is still elusive. Therefore, present study aimed to assess the quality of life of complex acetabulum fracture managed with combined anterior and posterior approach (dual approach) as well as the association of postoperative reduction and patient reported outcomes.

Material and methods: This retrospective study was performed on 42 associated acetabular fracture patients with involvement of both columns, who were treated with a dual approach including combined anterior modified ilio-inguinal approach in combination with posterior Kocher-Langenbeck (K-L) approach in a single anaesthetic session having minimum two years follow-up. Postoperative reduction and radiological outcomes were assessed using Matta criteria. Functional outcome was assessed by a score system developed by Merle d'Aubigné-Postel. Patient-reported outcomes were assessed using the 36-Item Short Form Survey (SF-36).

Results: The mean age of participants was 47.9 ± 11.95 years and mean follow-up period was 2.8 ± 0.49 years. Anatomical reduction was achieved in 32 (76.19%) cases in postoperative period. 8 (19.04%) cases had congruent and 2 (4.76%) had incongruent reduction. Radiological and functional outcome was excellent/good n = 35 (83.33%) cases. Patient-reported outcome on domains physical function and role physical showed a significant improvement between 6 to 24 months period (p < 0.001).

Conclusions: The dual approach for complex acetabulum fracture with mid-term follow-up showed good to excellent radiological and functional outcomes. A significant improvement in patient-reported outcomes on Physical function and Role physical domains of SF-36 was also seen over the follow-up period.

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来源期刊
HIP International
HIP International 医学-整形外科
CiteScore
4.20
自引率
0.00%
发文量
70
审稿时长
2 months
期刊介绍: HIP International is the official journal of the European Hip Society. It is the only international, peer-reviewed, bi-monthly journal dedicated to diseases of the hip. HIP International considers contributions relating to hip surgery, traumatology of the hip, prosthetic surgery, biomechanics, and basic sciences relating to the hip. HIP International invites reviews from leading specialists with the aim of informing its readers of current evidence-based best practice. The journal also publishes supplements containing proceedings of symposia, special meetings or articles of special educational merit. HIP International is divided into six independent sections led by editors of the highest scientific merit. These sections are: • Biomaterials • Biomechanics • Conservative Hip Surgery • Paediatrics • Primary and Revision Hip Arthroplasty • Traumatology
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