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[在前臂骨干骨折中,角度稳定单皮质骨固定技术与传统钢板固定技术的对比研究]

[Comparative examination between an angle stable, monokortikal osteosynthesis technique with the conventional plate osteosynthesis at the anterior arm shaft fracture].

作者信息

Grützner P A, Haase W, Matschke S, Vock B, Wentzensen A

机构信息

Berufsgenossenschaftliche Unfallklinik Ludwigshafen, Unfallchirurgische Klinik an der Universität Heidelberg.

出版信息

Unfallchirurg. 2003 Feb;106(2):121-6. doi: 10.1007/s00113-002-0482-8.

DOI:10.1007/s00113-002-0482-8
PMID:12624686
Abstract

With a retrospective Follow-up essay under the use of Matched peer variables the wellbeing course was examined by patient pairs (128 patients) assigned to 64 individually with fractures of the anterior arm shaft. A group which treats others with 2.7 or 3.5 mm DCP/LC-DCP got with the AO Point Contact basic gate (PC-Fix). The well-being course data count after the implantation on a period of 18 months. The Follow-up-rate was 100% for this time period. The patients became for each other on reason of the criteria: assigned to fracture classification, soft partial loss, accompanying injuries and age. Possible complications were: implantation conditional nerve damages, infections, implant failures, delayed healings, pseudarthroses, motion reductions and synostoses. Complications appeared (PC-Fix at 13 patients: respect, DCP: 5). The statistical testing didn't yield any statistically significant advantage for one for the two implants at a p-value of 0.5811 for.

摘要

采用匹配的对等变量进行回顾性随访研究,对128例前臂骨干骨折患者配对后分为64组,研究其健康状况。一组采用2.7或3.5mm动力加压接骨板/有限接触动力加压接骨板,并配合AO点接触式基础接骨板(PC-Fix)进行治疗。植入后18个月记录健康状况数据。该时间段的随访率为100%。根据骨折分类、软组织损伤程度、合并伤和年龄等标准将患者配对。可能出现的并发症有:植入相关的神经损伤、感染、植入物失效、愈合延迟、假关节形成、活动度降低和关节融合。出现并发症的情况(PC-Fix组13例,动力加压接骨板组5例)。在p值为0.5811时,统计学检验未显示两种植入物之间存在任何统计学上的显著差异。

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