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首页> 外文期刊>The Internet Journal of Orthopedic Surgery >Managing Delayed Union Of Sub-Trochanteric Fractures After Intra-Medullary Nailing By Non-Operative Means
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Managing Delayed Union Of Sub-Trochanteric Fractures After Intra-Medullary Nailing By Non-Operative Means

机译:用非手术方法处理髓内钉治疗后股骨转子下骨折的延迟愈合。

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Objective: This represents a prospective clinical case series to assess the efficacy of low-level laser therapy (LLLT) in treating delayed union of hip sub-trochanteric fracture after intra-medullary nailingMaterials and Methods: the study period of the clinical case series lasted from 2014 to 2018. Serial unselected patients with delayed union of hip sub-trochanteric fractures who consented for a course of non invasive LLLT administered on alternate days for a period of 12 weeks with a view to improve bony healing entered the study. Radiographs were taken at intervals of 4 weeks to assess for evidence of radiological bone healing. Only non-pathological sub-trochanteric fractures were included as underlying malignancy contraindicates the use of laser.Results: among the study population of 13 subjects, there was only one subject whose delayed union failed to respond positively to 12 weeks of LLLT treatment. All remaining 12 subjects went on to solid radiological union (p value less than 0.5)Conclusion: Use of 12 weeks of non invasive LLLT treatment is clinically effective in managing delayed union of hip sub-trochanteric fractures without resort to revision surgery and/or bone grafting.
机译:目的:这是一个前瞻性临床案例系列,旨在评估低水平激光疗法(LLLT)治疗髓内钉术后股骨转子下骨折延迟愈合的疗效。材料与方法:该临床案例系列的研究期始于2014年至2018年。一系列未选择的髋关节转子下骨折延迟愈合的患者,他们同意隔天进行无创LLLT疗程,持续12周,以改善骨愈合。放射线照相每隔4周进行一次,以评估放射线骨愈合的证据。结果:在13名受试者的研究人群中,只有1名受试者的延迟愈合对LLLT治疗12周无积极反应。其余所有12名受试者均接受了坚实的放射学联合检查(p值小于0.5)结论:使用12周的非侵入性LLLT治疗在临床上有效地治疗了股骨转子下骨折的延迟联合治疗,而无需诉诸翻修手术和/或骨骼嫁接。

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