埃塞俄比亚巴希尔达尔市公立医院股骨骨干骨折逆行髓内钉手术植入物生成网络治疗后膝关节疼痛:6个月随访结果分析

IF 1.7 Q2 ORTHOPEDICS

Orthopedic Research and Reviews Pub Date : 2023-01-01 DOI:10.2147/ORR.S406176

Tsegalem Birlie, Biniam Biresaw, Elias Yadeta, Tamirat Getachew, Adera Debella, Addis Eyeberu

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引用次数: 0

摘要

背景:年轻人和老年人股骨骨折的发病率有所增加，特别是在资源有限的国家，如埃塞俄比亚。髓内钉(IM)是治疗长骨干骨折的一种有效且经济的方法，但它可能导致并发症，如膝关节疼痛。目的:本研究旨在评估逆行髓内钉治疗股骨骨折后膝关节疼痛及其相关因素。患者和方法:该研究随访了2020年1月至2022年12月在埃塞俄比亚两家医院诊断为股骨骨折并接受逆行SIGN标准钉或鳍状钉治疗的110例患者。对患者进行至少6个月的随访，通过病历、患者访谈和对未参加随访预约的患者的电话收集数据。采用二元logistic回归分析确定与膝关节疼痛相关的因素。结果:随访6个月，40例患者报告膝关节疼痛，患病率为36.4%。与膝关节疼痛显著相关的因素是钉入损伤时间(AOR=4.23, 95% CI: 1.28-13.92)、内侧皮质螺钉使用(AOR=9.30, 95% CI: 2.90-12.74)和骨折部位(AOR= 2.67, 95% CI: 14.01-7.03)。具体来说，从受伤到固定的时间越长，膝盖疼痛的风险就越高。内侧皮质和骨折部位使用较长的螺钉也与膝关节疼痛呈正相关。结论:本研究认为逆行髓内钉内固定是治疗股骨骨折的有效方法，但常导致膝关节疼痛。在这项研究中，大约10名患者中有4名患有膝关节疼痛。避免延迟手术处理和尽量减少突出金属制品的使用可减轻膝关节疼痛。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

Knee Pain After Retrograde Intramedullary Nailing with Surgical Implant Generation Network of Femur Shaft Fractures at Public Hospitals in Bahir Dar City, Ethiopia: Analysis of 6-Months Follow-Up Results.

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Background: The incidence of femur fractures in young and elderly people has increased, particularly in countries with limited resources like Ethiopia. Intra-medullary nailing (IM) has been an effective and cost-effective method of treating long bone shaft fractures, but it can lead to complications such as knee pain.

Purpose: This study aimed to evaluate knee pain and its associated factors following retrograde intramedullary nailing for femur fractures.

Patients and methods: The study followed 110 patients diagnosed with femur fractures and treated with retrograde SIGN Standard Nail or Fin Nail from January 2020 to December 2022 at two hospitals in Ethiopia. The patients were followed up for at least 6 months, and data were collected from medical charts, patient interviews, and phone calls to patients who did not attend the follow-up appointment. Binary logistic regression analysis was used to identify factors associated with knee pain.

Results: The study showed that 40 patients reported knee pain at 6-months follow-up, making a prevalence of 36.4%. Factors significantly associated with knee pain were a time of injury to nailing (AOR=4.23, 95% CI: 1.28-13.92), use of a screw to the medial cortex (AOR=9.30, 95% CI: 2.90-12.74), and fracture site (AOR= 2.67, 95% CI: 14.01-7.03). Specifically, the longer the time from injury to nailing, the higher the risk of knee pain. The use of a longer screw to the medial cortex and a fracture site were also positively associated with knee pain.

Conclusion: This study concludes that although retrograde intramedullary nail fixation is an effective method for femur fractures, it often results in knee pain. Approximately 4 of 10 patients suffered from knee pain in this study. Avoiding delayed surgical management and minimizing the use of prominent metalwork may reduce knee pain.

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来源期刊

Orthopedic Research and Reviews Medicine-Orthopedics and Sports Medicine

CiteScore

2.80

自引率

0.00%

发文量

审稿时长

16 weeks

期刊介绍： Orthopedic Research and Reviews is an international, peer-reviewed, open-access journal focusing on the patho-physiology of the musculoskeletal system, trauma, surgery and other corrective interventions to restore mobility and function. Advances in new technologies, materials, techniques and pharmacological agents will be particularly welcome. Specific topics covered in the journal include: Patho-physiology and bioengineering, Technologies and materials science, Surgical techniques, including robotics, Trauma management and care, Treatment including pharmacological and non-pharmacological, Rehabilitation and Multidisciplinarian care approaches, Patient quality of life, satisfaction and preference, Health economic evaluations. The journal welcomes submitted papers covering original research, basic science and technology, clinical studies, reviews and evaluations, guidelines, expert opinion and commentary, case reports and extended reports.