术前计算机断层扫描对转子间骨折复位质量和结果的作用：一项对照试验。
The Role of Preoperative Computed Tomography on the Quality of Reduction and Outcomes in Intertrochanteric Fracture: A Controlled Trial.
机构信息
Department of Joint Surgery, Honghui Hospital, Xi'an Jiaotong University, Beilin District, Xi'an, Shaanxi Province, China.
Department of Orthopedic Trauma, Honghui Hospital, Xi'an Jiaotong University, Beilin District, Xi'an, Shaanxi Province, China.
出版信息
Biomed Res Int. 2021 Feb 12;2021:8854292. doi: 10.1155/2021/8854292. eCollection 2021.
PURPOSE
The study is aimed at assessing the role of preoperative computerised tomography (CT) examination in the quality of reduction and outcomes in elderly patients with intertrochanteric fracture.
METHODS
The elderly patients with an intertrochanteric fracture who were treated with proximal femoral nail antirotation were included. The patients were divided into the CT group and the no-CT group according to the presence of preoperative CT examination. Patients' baseline characteristics, quality of reduction, and function were recorded at follow-up. Functional outcomes were evaluated using the Harris hip scores (HHS).
RESULTS
Totally, the study included 182 patients with intertrochanteric fractures, with 85 in the CT group and 97 in the no-CT group, admitted between January 2018 and June 2019. There was no difference in the quality of reduction, HHS, the fracture healing, or postoperative complications between the CT group and the no-CT group. However, the CT group experienced the shorter mean operative time and blood transfusion, compared to the no-CT group.
CONCLUSIONS
The preoperative CT examination seems to be excessive for elderly patients with an intertrochanteric fracture.
目的
本研究旨在评估术前计算机断层扫描（CT）检查在老年股骨转子间骨折患者复位质量和结局中的作用。
方法
纳入接受股骨近端防旋髓内钉治疗的老年股骨转子间骨折患者。根据术前是否行 CT 检查，将患者分为 CT 组和非 CT 组。随访时记录患者的基线特征、复位质量和功能。采用 Harris 髋关节评分（HHS）评估功能结局。
结果
本研究共纳入 182 例股骨转子间骨折患者，其中 CT 组 85 例，非 CT 组 97 例，均于 2018 年 1 月至 2019 年 6 月收治。CT 组与非 CT 组在复位质量、HHS、骨折愈合和术后并发症方面无差异。但 CT 组的平均手术时间和输血量短于非 CT 组。
结论
术前 CT 检查对于老年股骨转子间骨折患者似乎有些过度。
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