首页> 外文期刊>Revista Brasileira de Ortopedia >Previs?o pré-operatória de fraturas supracondilares de úmero Gartland IV: é possível?*
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Previs?o pré-operatória de fraturas supracondilares de úmero Gartland IV: é possível?*

机译:预测Humerus Gartland IV的Upracondillar骨折的术前:有可能吗?*

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Objectives?The present study aims to identify preoperative characteristics of the patient, of the injury, as well as of imaging, which would point towards a type IV fracture. The present study shall help the operating team to predict more accurately the type IV pattern preoperatively, leading to improved counselling of the caregivers, planning of surgery, as well as preparedness regarding open reduction, if such situation arises. Methods?A retrospective study was conducted, including patients that met the following criteria: 1) age?
机译:目的?本研究旨在鉴定患者的术前特征,损伤,成像,这将指向IV型骨折。本研究应帮助操作团队术前预测IV型模式,导致护理人员的咨询,手术规划,以及如果出现这种情况,则有关开放减少的准备。方法?进行了回顾性研究,包括符合以下标准的患者:1)年龄?<?16岁; 2)Gartland Type-III和IV型Supracondylar骨折; 3)完整的记录。人口统计数据,如年龄,性别,横向,伤害模式,医院伤害持续时间,以前闭合的闭合,开放/封闭的骨折,远端神经血管状态和射线照相数据,如角度,翻译,骨质的环容和骨折粉碎集。结果?医院伤害持续时间和先前的闭合试图是在III型和IV裂缝中具有统计学上显着差异的因素(P?<?0.05)。在远端片段的旋流角度存在的情况下,IV型术型骨折的诊断Δ≥≤17°(差距[或] = 20.22; 95%置信区间[CI]?=?3.45-118.65 )。屈曲角度?≥10°(或?=Δ5.32; 95%CI?= 0.24-119.88)预测Gartland IV型,灵敏度为41%,特异性为100%。结论?疑似Gartland IV骨折的术前评价可以帮助操作外科医生预测此类伤害。诸如损伤的损伤期间增加的非显影因素,先前闭合的损伤尝试,以及旋流和屈曲角度的射线照相参数更可能与IV型裂缝相关。证据III水平。

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