伴有完整楔形骨折块的肱骨干骨折：微创钢板接骨术与传统钢板固定术的比较
HUMERAL SHAFT FRACTURE WITH AN INTACT WEDGE FRAGMENT: MIPO VS CONVENTIONAL PLATING.
作者信息
Higashi Jorge Henrique, Dos Reis Felipe Cruz Caetano, Guimarães Caio Filipe Antunes, de Lima Ricardo Debussulo, Andrade-Silva Fernando Brandao, Silva Jorge Dos Santos, Kojima Kodi Edson
机构信息
Universidade de Sao Paulo, Faculdade de Medicina, Hospital das Clinicas HC-FMUSP, Instituto de Ortopedia e Traumatologia IOT, Grupo de Trauma, Sao Paulo, SP, Brazil.
Universidade José do Rosário Vellano, Alfenas, MG, Brazil.
出版信息
Acta Ortop Bras. 2023 Sep 8;31(spe3):e268121. doi: 10.1590/1413-785220233103e268121. eCollection 2023.
OBJECTIVES
Evaluate bone healing time, consolidation, and the complication rate between the minimally invasive plate osteosynthesis and open reduction with plate osteosynthesis in humeral diaphyseal fractures with an intact wedge (AO 12B2).
METHODS
A retrospective study was carried out between 2016 and 2020. The medical records and radiographs of 18 patients were analyzed, and data were collected regarding the time of consolidation, age, sex, plate size, number of screws, complications such as iatrogenic injury damage to the radial nerve, material failure, and postoperative infection.
RESULTS
No statistically significant differences were observed in the variables of age, sex, plate size, and number of screws used or in the RUSHU index (Radiographic Union Score for Humeral fractures). There were no postoperative infections, material failure, or need for reoperation, nor cases of secondary radial nerve injury. After one year, all patients had a consolidation index analyzed by RUSHU >11.
CONCLUSION
both techniques showed similar results, with a high consolidation rate and low rates of complications or iatrogenic damage to the radial nerve. .
目的
评估在完整楔形肱骨骨干骨折（AO 12B2）中，微创钢板接骨术与切开复位钢板接骨术之间的骨愈合时间、骨痂形成情况及并发症发生率。
方法
进行一项2016年至2020年的回顾性研究。分析18例患者的病历和X线片，收集有关骨痂形成时间、年龄、性别、钢板尺寸、螺钉数量、并发症（如医源性桡神经损伤、材料失效和术后感染）的数据。
结果
在年龄、性别、钢板尺寸、所用螺钉数量或RUSHU指数（肱骨骨折影像学愈合评分）等变量方面，未观察到统计学上的显著差异。无术后感染、材料失效或再次手术的需要，也无继发性桡神经损伤病例。一年后，所有患者经RUSHU分析的骨痂形成指数>11。
结论
两种技术均显示出相似的结果，骨痂形成率高，并发症或医源性桡神经损伤发生率低。
Zotero 插件