利用患者身高对胫骨髓内钉长度进行术前预测。
Preoperative prediction of tibial nail length using patient body height.
作者信息
Krishnan Pranav, Baker Hayden P, Nwaudo Darlington, Dillman Daryl
机构信息
University of Chicago Pritzker School of Medicine, Chicago, IL, USA.
Department of Orthopaedic Surgery and Rehabilitation Medicine, University of Chicago, Chicago, IL, USA.
出版信息
J Orthop. 2022 Apr 25;31:121-123. doi: 10.1016/j.jor.2022.04.011. eCollection 2022 May-Jun.
PURPOSE
No validated method currently exists to preoperatively estimate tibial nail length for tibial fractures. While various anthropometric measurements have been suggested, none seem to allow for both accuracy and practicality, complicating treatment. This study aimed to evaluate the use of patient body height in preoperatively predicting tibial nail length.
METHODS
Patients with tibial fractures treated with intramedullary nail at a single level 1 trauma center were included. Patient body height and tibial nail size were used to develop a predictive equation.
RESULTS
220 patients were included and reviewed in this study. A logarithmic predictive equation was developed to accurately predict tibial nail length 82% of the time.
CONCLUSIONS
Tibial nail length can be accurately predicted from patient body height. Compared to other anthropometric measurements, patient body height can be easily and consistently measured. Additionally, this study involved the largest sample size compared to other anthropometric studies predicting tibial nail length.
目的
目前尚无经过验证的方法可在术前预估胫骨骨折的髓内钉长度。虽然有人提出了各种人体测量方法，但似乎没有一种方法能兼顾准确性和实用性，这使得治疗变得复杂。本研究旨在评估利用患者身高术前预测胫骨钉长度的可行性。
方法
纳入在一家一级创伤中心接受单节段髓内钉治疗的胫骨骨折患者。利用患者身高和胫骨钉尺寸建立预测方程。
结果
本研究共纳入并分析了220例患者。建立了一个对数预测方程，该方程在82%的情况下能准确预测胫骨钉长度。
结论
根据患者身高可以准确预测胫骨钉长度。与其他人体测量方法相比，患者身高易于且能始终如一地测量。此外，与其他预测胫骨钉长度的人体测量研究相比，本研究的样本量最大。
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