Miodrag Vranješ, Milan Majkić, Nikola Vukosav, Branko Baljak
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引用次数: 0
摘要
目的：用于桡骨远端骨折（DRF）固定的沃尔锁定钢板（VLP）的最佳螺钉数量尚未确定。我们开展了一项回顾性观察研究，旨在评估所用螺钉数量与腕部患者评分问卷（PRWE）所提供的术后结果之间的关系：方法：在2019年7月至2022年9月期间，共有62名接受过DRF手术治疗的患者参与研究。通过检查 X 光图像和使用健康记录收集有关螺钉数量和排列的信息。我们关注五个变量：螺钉总数、近端碎片螺钉数量、远端碎片螺钉数量、锁定螺钉数量以及皮质螺钉数量：我们的数据表明，VLP中用于DRF固定的螺钉数量对术后结果的预测作用较弱，因此不太可能影响PRWE评分：结论：通过了解螺钉数量来预测结果的能力并不可靠。
Can the screw number in volar locking plate fixation for distal radius fractures predict the Patient-Rated Wrist Evaluation outcome?
Objective: The optimum number of screws in a volar locking plate (VLP) for distal radial fractures (DRF) fixation has not been established. We conducted a retrospective observational study aimed to evaluate the relationship between the number of used screws and the post-operative results provided by the patient-rated wrist evaluation (PRWE) questionnaire.
Method: A total number of 62 surgically treated participants for DRF were included in the study between July 2019 and September 2022. Information was gathered regarding the number and arrangement of screws by examining X-ray images and using health records. We were looking at five variables: the total number of screws, the number of proximal fragment screws, the number of distal fragment screws, the number of locking screws, and finally number of cortical screws.
Results: Our data suggests that the number of screws in VLP for DRF fixation is a weak predictor of post-operative results and is therefore unlikely to influence the PRWE score.
Conclusions: The ability to predict outcome by knowing the number of screws turned out to be an unreliable prognostic sign.
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