...
  • 主题
高级搜索  >
历史搜索 清空历史
首页> 外文期刊>Journal of orthopaedic trauma >Is Closed Reduction and Percutaneous Fixation of Unstable Posterior Ring Injuries as Accurate as Open Reduction and Internal Fixation?
【24h】

Is Closed Reduction and Percutaneous Fixation of Unstable Posterior Ring Injuries as Accurate as Open Reduction and Internal Fixation?

机译：闭合复位和经皮内固定不稳定的后环损伤与打开复位和内固定一样准确吗？

获取原文
获取原文并翻译 | 示例
           
页面导航
  • 摘要
  • 著录项
  • 相似文献
  • 相关主题

摘要

Objectives:The objective of this retrospective review was to determine whether a closed reduction technique for unstable pelvic ring injuries is as accurate as an open technique.Design:Retrospective review.Setting:Two academic Level 1 trauma centers.Patients/Participants:We reviewed the records of 113 patients who had unilateral unstable pelvic ring injuries (Bucholz type 3, OTA type 61-C1) treated with closed reduction and percutaneous fixation (CRPF) or open reduction with internal fixation (ORIF).Intervention:Sixty patients were treated at one institution with open reduction and percutaneous iliosacral screw fixation. This involved prone positioning and a gluteus maximus sparing approach for direct visualization and reduction of the fracture. A second cohort of 53 patients was treated at a separate institution with closed reduction and percutaneous iliosacral screw fixation. This involved supine positioning and skeletal traction.Main Outcome Measures:Preoperative and postoperative plain radiographs of the pelvis were reviewed and standardized measurements were made to compare quality of reduction.Results:We were able to measure displacement within 0.1 mm. Overall reduction quality was slightly better for the CRPF group. The largest average difference in postoperative displacement was seen at the iliac wing height on anteroposterior pelvis radiographs with 6.3 mm (range 0-19.6) in the ORIF group versus 1.9 mm (range 0-4.7) in the CRPF group.Conclusions:The closed reduction technique described here is as effective as the ORIF technique in obtaining reduction of unstable pelvic ring injuries (Bucholz type 3, OTA type 61-C1).Level of Evidence:Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence.
机译：目的：本次回顾性研究的目的是确定闭合性骨盆环损伤复位术是否与开放性技术一样准确。设计：回顾性研究背景：两个学术1级创伤中心患者/参与者：我们回顾了113例单侧不稳定骨盆环损伤（Bucholz 3型，OTA 61-C1型）经闭合复位经皮内固定术（CRPF）或经内切开复位内固定术（ORIF）的患者的记录。干预：60例患者接受一次治疗切开复位和经皮骨螺钉固定的医疗机构。这涉及俯卧定位和臀大肌保留方法，以直接显示和减少骨折。第二队列的53名患者在另一所机构接受了闭合复位和经皮骨螺钉固定治疗。主要结局指标：回顾术前和术后骨盆平片，并进行标准化测量以比较复位的质量。结果：我们能够测量0.1mm以内的位移。 CRPF组的总体减排质量略好。术后移位的最大平均差异出现在骨盆前后位片上，ORIF组为6.3mm（范围为0-19.6），CRPF组为1.9mm（范围为0-4.7）。此处描述的技术与ORIF技术在减少不稳定的骨盆环损伤（Bucholz 3型，OTA 61-C1型）方面一样有效。证据级别：治疗级别III。有关证据水平的完整说明，请参见《作者说明》。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱：kefu@zhangqiaokeyan.com

京公网安备：11010802029741号 ICP备案号：京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有

  • 客服微信

  • 服务号