Qhib kev tso tawm ua ke nrog distal radius fixation thiab hinged sab nraud fixation hauv kev kho mob ntawm e

Abstract

Lub Hom Phiaj: Txoj kev tshawb no yog txhawm rau tshawb nrhiav qhov ua tau zoo ntawm kev qhib thiab tso tawm kev phais ua ke nrog kev kho lub voj voog distal thiab hinged sab nraud fixation hauv kev kho lub luj tshib.

Txoj Kev: Kev tshawb fawb soj ntsuam randomized tswj tau ua nyob rau lub Kaum Hlis 2015. Tag nrho ntawm 77 tus neeg mob uas lub luj tshib sib koom ua ke los ntawm kev raug mob tau muab faib ua pawg soj ntsuam (n=38) thiab pawg tswj hwm (n=39). Pab pawg tswj hwm tau txais kev phais tso tawm ib txwm muaj, thaum pab pawg saib xyuas tau txais kev tso tawm kev phais ua ke nrog lub voj voog distal fixation thiab hinged sab nraud fixation. Cov ntaub ntawv dav dav, suav nrog poj niam txiv neej, hnub nyoog, ua rau raug mob, hom kev kuaj mob thawj zaug, lub sijhawm los ntawm kev raug mob mus rau kev ua haujlwm, kev ua haujlwm ua ntej flexion thiab txuas ntxiv ntawm lub luj tshib, thiab Mayo lub luj tshib sib koom ua haujlwm, tau sau thiab sib piv. Kev ua haujlwm rov qab ntawm lub luj tshib tau raug soj ntsuam los ntawm kev ntsuas flexion thiab txuas ntxiv thiab Mayo lub luj tshib kev ua haujlwm ntsuas tus qauv.

Cov txiaj ntsig: Qhov kev txiav ntawm ob pawg tau kho tsis muaj teeb meem. Pawg soj ntsuam muaj 1 rooj plaub ntawm tus ntsia thawv kab mob, 2 kis ntawm cov tsos mob ntawm ulnar paj hlwb, 1 kis ntawm heterotopic ossification ntawm lub luj tshib, thiab 1 rooj plaub ntawm mob me ntsis ntawm lub luj tshib. Cov pab pawg tswj tau muaj 2 tus neeg mob ntawm tus ntsia thawv kab mob, 2 kis ntawm cov tsos mob ntawm lub paj hlwb, thiab 3 qhov mob me me ntawm lub luj tshib. Ntawm qhov kev soj ntsuam zaum kawg, qhov ntau ntawm cov lus tsa suab ntawm lub luj tshib sib koom ua ke thiab txuas ntxiv thiab Mayo lub luj tshib ua haujlwm tau zoo hauv ob pawg ua haujlwm tau zoo dua qub piv nrog ua ntej ua haujlwm (P <0.05). Furthermore, the observation group had significantly greater improvements compared to the control group (P<0.05). According to the Mayo elbow function score evaluation, the observation group had an excellent and good rate of 97.4%, while the control group had an excellent and good rate of 84.6%. However, there was no significant difference in the excellent and good rates between the two groups (P=0.108).

Qhib kev tso tawm ua ke nrog cov kab hluav taws xob distal fixation thiab hinged sab nraud fixation rau kev raug mob lub luj tshib tuaj yeem txhim kho lub luj tshib sib koom ua ke thiab muab cov txiaj ntsig zoo dua li kev tso tawm kev phais.

Lub luj tshib yog ib qho tshwm sim ntawm kev raug mob hnyav rau lub luj tshib sib koom ua ke, ua rau muaj kev puas tsuaj rau cov pob txha ligament thiab cov nqaij mos.

Qhib kev tso tawm ua ke nrog distal radius fixation thiab hinged sab nraud fixation nyob rau hauv kev kho mob ntawm distal radius fractures muab ib tug kev qhia thiab zoo mus kom ze rau kev ua kom muaj nuj nqis thiab stability nyob rau hauv lub dab teg. Kab lus no hais txog cov lus nug thiab kev txhawj xeeb txog txoj kev kho no.