经皮微创接骨技术与传统切开复位内固定治疗骨折端桥接区愈合的临床可靠性比较
Clinical reliability of closed techniques and comparison with open strategies to achieve union at the docking site.
机构信息
Department of Orthopedic Surgery and Traumatology, Menaggio Hospital, Como, Italy.
出版信息
Int Orthop. 2012 Apr;36(4):817-25. doi: 10.1007/s00264-011-1260-4. Epub 2011 Apr 20.
Abstract
PURPOSE
This retrospective review follows 31 tibial nonunions to compare union at the docking site using closed versus open strategies. In this cohort of patients, all but five were infected nonunions.
METHODS
Thirteen patients initially treated with single compression were compared with 18 patients treated by open revision of the docking site. In the single compression group, an average of 6.5 cm of bone was resected and index lengthening was 2.04. In the open revision group, a mean of 9.4 cm was resected and the index lengthening was 1.73.
RESULTS
Consolidation at the docking site occurred in all subjects in both groups. There was no statistical difference between the two groups. Conclusive evidence of superiority of one modality of treatment over the other cannot be drawn from our data.
CONCLUSIONS
The simple compression procedure requires less invasive surgery and is probably less demanding and more cost-effective in short transports.
摘要
目的
本回顾性研究随访了 31 例胫骨骨不连患者，比较了采用闭合与开放策略在对接部位愈合的情况。在该患者队列中，除 5 例外均为感染性骨不连。
方法
最初接受单压治疗的 13 例患者与 18 例通过对接部位开放修正治疗的患者进行比较。在单压组中，平均切除 6.5cm 的骨，指数延长 2.04cm。在开放修正组中，平均切除 9.4cm，指数延长 1.73cm。
结果
两组患者在对接部位均实现了骨融合。两组间无统计学差异。我们的数据不能得出一种治疗方式比另一种更优越的结论。
结论
简单的压缩手术需要较少的侵入性手术，在短途运输中可能要求较低，更具成本效益。
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