使用后足钉治疗脆性踝关节骨折，系统评价
Treatment of fragility ankle fractures using hindfoot nail, systemic review.
作者信息
Elmajee Mohammed, Gabr Abdullah, Aljawadi Ahmed, Strang Matthew, Khan Shoaib, Munuswamy Sivashankaren, Pillai Anand, Sprott Dominic
机构信息
ST4 Spine Department, Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, B31 2AP, UK.
Salford Royal NHS Foundation Trust, Manchester, M6 8HD, UK.
出版信息
J Orthop. 2020 Nov 4;22:559-564. doi: 10.1016/j.jor.2020.11.006. eCollection 2020 Nov-Dec.
Abstract
With an aging population, the prevalence of fragility ankle fractures is rising. The surgical management of these injuries is challenging and associated with high rates of complications. An extensive literature review (inception of data until September 2019) was undertaken to locate previous studies that have addressed the same topic. Seven studies met the inclusion criteria. The post-operative Olerud and Molander scores were comparable/slightly lower than pre-injury scores. Bony union was achieved in 90.3%-100% of cases. Hindfoot nails, when used to treat fragility ankle fractures, can facilitate early rehabilitation and restoration of function among elderly osteoporotic patients.
摘要
随着人口老龄化，脆性踝关节骨折的患病率正在上升。这些损伤的手术治疗具有挑战性，且并发症发生率很高。我们进行了广泛的文献综述（数据起始时间至2019年9月），以查找之前涉及同一主题的研究。七项研究符合纳入标准。术后Olerud和Molander评分与受伤前评分相当/略低。90.3%-100%的病例实现了骨愈合。后足钉用于治疗脆性踝关节骨折时，可促进老年骨质疏松患者的早期康复和功能恢复。
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