交叉螺钉固定桡骨颈骨折教学教材演示幻灯片.pptxVIP

交叉螺钉固定桡骨颈骨折 Haihui JiangDepartment of Neurosurgery Beijing Huaxin HospitalTsinghua UniversityIs cross-screw fixation superior to plate for radial neck fracture?背景桡骨颈骨折较少见，发病率约16.7/100000；通常由直接暴力引起；交叉螺钉固定；钢板固定；研究方法入组标准 单纯、急性桡骨颈闭合性骨折，伴或不伴侧副韧带损伤； 平片显示移位大于2mm或成角大于30度，但不伴桡骨头骨折; 查体时合并旋转功能障碍; 依从性好； 排除标准 桡骨头骨折； 严重的粉碎性骨折； 合并骨质缺损的桡骨颈骨折； 多发骨折或合并肘关节脱位者； 病理性骨折；研究方法回顾性收集符合入组条件的病例；共58例，其中交叉螺钉组29例，钢板组29例；年龄：38.5(18-56)；患者的一般资料二组间在以上方面并无统计学差异；手术方式交叉螺钉手术组手术方式钢板手术组结果旋前功能：交叉螺钉组钢板组；旋后功能：交叉螺钉组钢板组；旋转范围：交叉螺钉组钢板组；结果Broberg和Morrey评分：二组间无统计学差异；但交叉螺钉组略优于钢板组（P=0.2）；Notes:Gliomas are tumors that arise from glial cells. They include astrocytomas, glioblastomas, oligodendrogliomas, ependymomas, mixed gliomas, malignant gliomas NOS, and neuroepithelial tumors. Although the word “glioma” is often used interchangeably with “primary brain tumor,” the broad category of “glioma” represents 44% of all primary brain tumors. Glioblastomas account for the majority of gliomas, while astrocytomas and glioblastomas together account for more than three-quarters of gliomas.Notes:Gliomas are tumors that arise from glial cells. They include astrocytomas, glioblastomas, oligodendrogliomas, ependymomas, mixed gliomas, malignant gliomas NOS, and neuroepithelial tumors. Although the word “glioma” is often used interchangeably with “primary brain tumor,” the broad category of “glioma” represents 44% of all primary brain tumors. Glioblastomas account for the majority of gliomas, while astrocytomas and glioblastomas together account for more than three-quarters of gliomas.Notes:Gliomas are tumors that arise from glial cells. They include astrocytomas, glioblastomas, oligodendrogliomas, ependymomas, mixed gliomas, malignant gliomas NOS, and neuroepithelial tumors. Although the word “glioma” is often used interchangeably with “primary brain tumor,” the broad category of “glioma” represents 44% of all primary brain tumors. Glioblastomas account for the majority of gliomas, while astrocytomas and glioblastomas toge