经皮逐步杠杆技术治疗儿童桡骨颈骨折早期取钉的临床及影像学结果。

IF 1.1 4区 医学 Q3 ORTHOPEDICS Acta orthopaedica et traumatologica turcica Pub Date : 2023-01-01 DOI:10.5152/j.aott.2023.22093
Tae Hun Kim, Jae-Ho Cho, Kyeong-Jin Han, Doo-Hyung Lee, Jong Min Lee, Wan-Sun Choi
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引用次数: 0

摘要

目的:本研究的目的是比较采用渐进式经皮杠杆技术治疗桡骨颈骨折患者早期(≤3周)和晚期(>3周)取钉的放射学和临床结果。方法:回顾性研究2003年至2019年37例采用逐步经皮杠杆技术固定Judet III级和IV级桡骨颈骨折的患者(3-15岁)。根据取针时间将患者分为两组;早期取针19例(≤3周),晚期取针18例(>3周)。采用Metaizeau分级对患者的放射学结果进行分级,并通过术后随访测量患者的活动范围(ROM)和Mayo肘关节功能评分(MEPS)来评估其临床结果。采用统计学检验,包括Mann-Whitney U检验和卡方检验,比较人口学因素和结果。结果:所有患者的平均拔针时间为21(10-43)天。平均早、晚拔除时间分别为15.1(10 ~ 21)天和27.6(22 ~ 43)天。根据Metaizeau分类,两组间放射学差异无统计学意义(P = .723)。此外,两组间ROM(伸/屈:P = .620,旋前/旋后:P = .578)或MEPS (P = .695)无统计学差异。结论:本研究表明,采用逐步经皮杠杆技术对儿童桡骨颈骨折患者早期取钉与晚期取钉相比,具有良好的放射学和临床效果。证据等级:IV级,治疗性研究。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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Clinical and radiological results of early pin removal in pediatric radial neck fractures treated with stepwise percutaneous leverage technique.

Objective: The aim of this study was to compare radiological and clinical results between early (≤3 weeks) and late (>3 weeks) removal of pins in patients treated with the stepwise percutaneous leverage technique for radial neck fractures.

Methods: 37 patients (aged 3-15) who underwent fixation with stepwise percutaneous leverage technique for Judet class III and class IV radial neck fractures between 2003 and 2019 were included in this retrospective study. Patients were divided into two groups according to the time of pin removal; 19 had early pin removal (≤3 weeks) and 18 had late pin removal (>3 weeks). The patients' radiological results were graded using the Metaizeau classification and their clinical results were evaluated by measuring their range of motion (ROM) and Mayo elbow performance scores (MEPS) at postoperative follow-ups. Statistical tests, including the Mann-Whitney U and Chi-square tests, were performed to compare the demographic factors and outcomes.

Results: The mean time of removal of pins for all patients was 21 (10-43) days. The mean time for early and late removal was 15.1 (10-21) and 27.6 (22-43) days, respectively. There was no statistically significant difference between groups radiologically according to the Metaizeau classification (P = .723). Furthermore, no statistically significant difference was found in the ROM (extension/flexion: P = .620, pronation/supination: P = .578) or MEPS (P = .695) between groups.

Conclusion: This study has shown us that early removal of pins in patients with pediatric radial neck fractures treated with stepwise percutaneous leverage technique demonstrated good radiological and clinical results comparable to late pin removal. Level of Evidince: Level IV, Therapeutic Study.

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来源期刊
CiteScore
2.00
自引率
0.00%
发文量
66
审稿时长
>12 weeks
期刊介绍: Acta Orthopaedica et Traumatologica Turcica (AOTT) is an international, scientific, open access periodical published in accordance with independent, unbiased, and double-blinded peer-review principles. The journal is the official publication of the Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology. It is published bimonthly in January, March, May, July, September, and November. The publication language of the journal is English. The aim of the journal is to publish original studies of the highest scientific and clinical value in orthopedics, traumatology, and related disciplines. The scope of the journal includes but not limited to diagnostic, treatment, and prevention methods related to orthopedics and traumatology. Acta Orthopaedica et Traumatologica Turcica publishes clinical and basic research articles, case reports, personal clinical and technical notes, systematic reviews and meta-analyses and letters to the Editor. Proceedings of scientific meetings are also considered for publication. The target audience of the journal includes healthcare professionals, physicians, and researchers who are interested or working in orthopedics and traumatology field, and related disciplines.
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