早期骨移植供体部位的发病率；髂前上嵴与胫骨近端。

Q1 Medicine

MUSCULOSKELETAL SURGERY Pub Date : 2024-10-29 DOI:10.1007/s12306-024-00865-7

S C Uzodimma, G O Eyichukwu, E C Iyidobi, O Ede, C U Nwadinigwe, H C Ikeabbah, C O Uzuegbunam, U E Anyaehie, R T Ekwunife, K A Okoro, C M Akah

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引用次数: 0

摘要

目的：自体骨移植是骨科和整形手术中广泛使用的一种技术。髂前上嵴（AIC）和胫骨近端（PT）是常见的骨移植来源。髂前上嵴（AIC）是黄金标准，而胫骨近端（PT）由于距离较近，在下肢手术中很受欢迎。本研究调查了尼日利亚一家三级骨科中心与这些供骨部位相关的早期并发症：这项随机对照研究于 2020 年 7 月至 2021 年 12 月进行。方法：这项随机对照研究于 2020 年 7 月至 2021 年 12 月进行，66 名患者被随机分为 AIC 组和 PT 组。两组患者的疼痛评分分析和手术部位感染发生率进行了比较：结果：两组手术部位感染（SSI）发生率无统计学差异。研究还显示，AIC 组患者在术后初期和术后两周内疼痛更明显，术后第一天疼痛尤为严重。(第 C 页结论）：与 AIC 骨移植供体相比，PT 组的疼痛程度较轻。作者建议外科医生在需要植骨时考虑 PT。

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Early bone graft donor site morbidities; anterior superior iliac crest versus proximal tibia.

Purpose: Autogenous bone grafting is a widely used technique in orthopaedic and reconstructive surgeries. The anterior superior iliac crest (AIC) and proximal tibia (PT) are common sources for bone grafts. While, AIC is the gold standard, PT is popular for lower extremity procedures due to its proximity. The research investigates early complications associated with these donor sites in a tertiary orthopaedic centre in Nigeria.

Methods: This randomized controlled study was conducted from July 2020 to December 2021. It includes 66 patients randomized into AIC and PT groups. Pain score analysis and the incidence of surgical site infections were compared between both groups.

Results: There was no statistical difference in the incidence of surgical site infections (SSI) in both groups. The study also reveals that patients in the AIC group experienced more significant pain in the immediate postoperative period and up to two weeks after surgery, with the severity particularly pronounced on the first postoperative day. (p < 0.001).

C conclusions: The PT had less pain severity than the AIC bone graft donor sites. The authors recommend that surgeons consider PT if bone grafting is required.

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来源期刊

MUSCULOSKELETAL SURGERY Medicine-Surgery

CiteScore

4.50

自引率

0.00%

发文量

期刊介绍： Musculoskeletal Surgery – Formerly La Chirurgia degli Organi di Movimento, founded in 1917 at the Istituto Ortopedico Rizzoli, is a peer-reviewed journal published three times a year. The journal provides up-to-date information to clinicians and scientists through the publication of original papers, reviews, case reports, and brief communications dealing with the pathogenesis and treatment of orthopaedic conditions.An electronic version is also available at http://www.springerlink.com.The journal is open for publication of supplements and for publishing abstracts of scientific meetings; conditions can be obtained from the Editors-in-Chief or the Publisher.