成人桡骨前臂骨折愈合时间的预测因素

IF 0.1 Q4 SURGERY
S. Factor, Ron Gurel, G. Eisenberg, D. Tordjman, Y. Rosenblatt, T. Pritsch, F. Atlan
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引用次数: 0

摘要

目的:尽管切开复位钢板内固定(ORIF)是治疗前臂骨干骨折的首选方法,但延迟愈合和不愈合仍然是存在的并发症。本研究旨在分析前臂骨干骨折愈合时间的预测因素。方法:对2007年至2016年间在三级护理转诊中心接受钢板内固定手术治疗的所有成年前臂骨干骨折患者进行回顾性研究。根据愈合时间将患者分为两组:≤3个月或>3个月。然后比较他们的人口统计学、骨折模式和特征、相关损伤、固定类型和术后复位质量。结果:在55名成人中观察到86处前臂骨干骨折(桡骨、尺骨或两者兼有)。在这些骨折中,55例(65.1%)在≤3个月内愈合,26例(30.3%)在3个月以上愈合,4例(4.6%)导致骨不连。在前臂骨干骨折切开复位内固定中使用锁定钢板显著增加了≤3个月内愈合的可能性(p=0.043)。术后X射线观察到的骨折部位间隙宽度参数与愈合时间呈定性和定量相关性(p=0.028)。结论:使用锁定钢板,结合在前臂骨干骨折的切开复位和内固定(ORIF)期间复位后减小骨折部位的间隙宽度与在3个月内实现骨愈合的可能性增加显著相关。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Predictive Factors for Union Time in Adult Diaphyseal Forearm Fractures
Purpose: Although open reduction and internal fixation (ORIF) by plating are the treatment of choice for diaphyseal fractures of the forearm, delayed union and non-union remain as existing complications. This study aimed to analyze predictive factors for the union time in diaphyseal fractures of the forearm. Methods: A retrospective study was conducted on all adult patients with diaphyseal forearm fractures who underwent surgical treatment with plate fixation between 2007 and 2016 at a tertiary care referral center. The patients were divided into two groups based on their union times: ≤3 months or >3 months. They were then compared for demographics, fracture pattern and characteristics, associated injuries, type of fixation, and quality of postoperative reduction. Results: Eighty-six diaphyseal forearm bone fractures (radius, ulna, or both) were observed in 55 adults. Out of these fractures, 55 (65.1%) achieved union within ≤3 months, 26 (30.3%) took more than 3 months to achieve union, and 4 (4.6%) resulted in nonunion. The use of a locking plate in open reduction and internal fixation of diaphyseal forearm fractures significantly increased the likelihood of union within ≤3 months (p = 0.043). The parameter of gap width at the fracture site, as observed on postoperative X-rays, showed a qualitative and quantitative correlation with union time (p = 0.028). Conclusion: The use of a locking plate, combined with reducing the gap width at the fracture site after reduction during open reduction and internal fixation (ORIF) of diaphyseal forearm fractures, is significantly correlated with an increased likelihood of achieving bone union within 3 months.
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