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稳定型髋部骨折髓内钉治疗后影像学骨愈合评分对髋部骨折的可行性及价值

Feasibility and Value of Radiographic Union Score Hip Fracture after Treatment with Intramedullary Nail of Stable Hip Fractures.

作者信息

Maiettini Daniele, Bisaccia Michele, Caraffa Auro, Rinonapoli Giuseppe, Piscitelli Luigi, Bisaccia Olga, Rollo Giuseppe, Meccariello Luigi, Ceccarini Paolo, Rebonato Alberto

机构信息

Radiology Unit, Department of Surgical and Biomedical Science, S.M. Misericordia Hospital, University of Perugia, Sant'AndreadelleFratte, Perugia, Italy.

Orthopaedics and Traumatology Unit, Department of Surgical and Biomedical Science, S.M. Misericordia Hospital, University of Perugia, Sant'AndreadelleFratte, Perugia, Italy.

出版信息

Acta Inform Med. 2016 Dec;24(6):394-396. doi: 10.5455/aim.2016.24.394-396.

DOI:10.5455/aim.2016.24.394-396
PMID:28077901
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5203746/
Abstract

INTRODUCTION

Given the importance of fracture healing on patient outcome in clinical practice, it is critical to assess fracture healing.

AIM

The aim of this study was to evaluate the feasibility of the Radiographic Union Score Hip fracture after treatment with intramedullary nail of stable hip fractures.

PATIENTS AND METHODS

We retrospectively collected the data from the clinical records of our institution of the 47 patientswho had undergone intertrochanteric hip fracture treatment using an intramedullary nail. Pain visual analogic score (VAS) was collected the same day that X-rays were taken. Plain hip X-rays were performed, in two radiographic views, at 40 and 90 days after the surgical procedure. The correlation between the RUSH and VAS score was evaluated.

RESULTS

Mean RUSH and VAS scores showed a strong statistical improvement between the 40 and 90 day follow-ups. RUSH value at 40 days fitted an inverse linear regression with VAS, p-value of 0.0063 and r2 of 0.15. At 90 days the regression between RUSH and VAS scores was not significant.

CONCLUSION

RUSH could be proposed as an objective system to evaluate union in hip fractures treated with intramedullary nail.

摘要

引言

鉴于骨折愈合对临床实践中患者预后的重要性，评估骨折愈合至关重要。

目的

本研究的目的是评估使用髓内钉治疗稳定型髋部骨折后，髋关节骨折影像学愈合评分（Radiographic Union Score Hip，RUSH）的可行性。

患者与方法

我们回顾性收集了本机构47例接受股骨转子间髋部骨折髓内钉治疗患者的临床记录数据。在拍摄X线片的同一天收集疼痛视觉模拟评分（VAS）。术后40天和90天进行髋关节正侧位X线平片检查。评估RUSH评分与VAS评分之间的相关性。

结果

40天和90天随访之间，平均RUSH评分和VAS评分显示出显著的统计学改善。40天时RUSH值与VAS呈负线性回归，p值为0.0063，r2为0.15。90天时，RUSH评分与VAS评分之间的回归不显著。

结论

RUSH可作为评估髓内钉治疗髋部骨折愈合情况的客观系统。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbda/5203746/aff2c9ba5e56/AIM-24-394-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbda/5203746/3cc2ee3d9fa2/AIM-24-394-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbda/5203746/e05ee3c8f4e1/AIM-24-394-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbda/5203746/aff2c9ba5e56/AIM-24-394-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbda/5203746/3cc2ee3d9fa2/AIM-24-394-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbda/5203746/e05ee3c8f4e1/AIM-24-394-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cbda/5203746/aff2c9ba5e56/AIM-24-394-g004.jpg

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