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镁植入物用于肘关节周围骨折固定及当前文献综述:病例系列

Peri-articular elbow fracture fixations with magnesium implants and a review of current literature: A case series.

作者信息

Fang Christopher, Premchand Antony Xavier Rex, Park Derek Howard, Toon Dong Hao

机构信息

Department of Orthopaedic Surgery, Khoo Teck Puat Hospital, National Healthcare Group, Singapore 768828, Singapore.

出版信息

World J Orthop. 2024 Mar 18;15(3):215-229. doi: 10.5312/wjo.v15.i3.215.

Abstract

BACKGROUND

In recent years, the use of Magnesium alloy implants have gained renewed popularity, especially after the first commercially available Conformité Européenne approved Magnesium implant became available (MAGNEZIX CS, Syntellix) in 2013.

AIM

To document our clinical and radiographical outcomes using magnesium implants in treating peri-articular elbow fractures.

METHODS

Our paper was based on a retrospective case series design. Intra-operatively, a standardized surgical technique was utilized for insertion of the magnesium implants. Post - operatively, clinic visits were standardized and physical exam findings, functional scores, and radiographs were obtained at each visit. All complications were recorded.

RESULTS

Five patients with 6 fractures were recruited (2 coronoid, 3 radial head and 1 capitellum). The mean patient age and length of follow up was 54.6 years and 11 months respectively. All fractures healed, and none exhibited loss of reduction or complications requiring revision surgery. No patient developed synovitis of the elbow joint or suffered electrolytic reactions when titanium implants were used concurrently.

CONCLUSION

Although there is still a paucity of literature available on the subject and further studies are required, magnesium implants appear to be a feasible tool for fixation of peri-articular elbow fractures with promising results in our series.

摘要

背景

近年来,镁合金植入物的使用再度受到欢迎,尤其是在2013年首个获得欧洲合格认证(Conformité Européenne)的商用镁植入物(MAGNEZIX CS,Syntellix)问世之后。

目的

记录我们使用镁植入物治疗肘关节周围骨折的临床和影像学结果。

方法

我们的论文基于回顾性病例系列设计。术中,采用标准化手术技术植入镁植入物。术后,门诊就诊标准化,每次就诊时获取体格检查结果、功能评分和X光片。记录所有并发症。

结果

招募了5例患者共6处骨折(2处冠状突骨折、3处桡骨头骨折和1处肱骨小头骨折)。患者平均年龄和随访时间分别为54.6岁和11个月。所有骨折均愈合,无一例出现复位丢失或需要翻修手术的并发症。同时使用钛植入物时,无患者发生肘关节滑膜炎或出现电解反应。

结论

尽管关于该主题的文献仍然匮乏,还需要进一步研究,但在我们的系列研究中,镁植入物似乎是固定肘关节周围骨折的一种可行工具,结果令人鼓舞。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/eadb/10999966/4ae26a82295d/WJO-15-215-g001.jpg

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