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New progress in fracture treatment

2026-08-27 03:34
2026-08-27 05:21

The following are some new developments in the treatment of fractures in different parts: - ** Scapular fracture **: In the past, most of the scapular fractures could be treated conservatively with satisfactory results. However, with the deepening of their understanding and the improvement of people's requirements for upper limb function, considering the potential pain, blood vessel problems, delayed healing, malunion, persistent shoulder symptoms, and loss of arm function that may be caused by the shortening and middle displacement of the scapula, surgical treatment became more and more popular. With the maturity of surgical techniques, surgical treatment showed superiority in terms of functional recovery. - ** Lower limb fracture ** - ** Fractures of the upper end of the thigh **: - For the treatment of Pipkin type III fracture of the hip head with ORIF, a review showed that the efficacy of ORIF was not good, and one-stage joint replacement surgery should be the first choice. However, for young patients, ORIF could be performed on the premise that they were fully informed of the high occurrence rate of avascularized hip head. - Among the patients with displaced hip capsule, the 3-year mortality rate was significantly lower in the cement-type or bio-type hip replacement group. However, there was no significant difference between the two groups in terms of VAS, hip joint function, complications, and revision rate. - According to the injury mechanism and fracture form, the subtrochanteric fracture was classified. It was found that there were differences in gender, medication tendency, and injury energy between different types of fractures, but the two groups were similar in terms of prediction-related outcome indicators such as mortality rate, readmission rate, and complication rate. - The study on the application of the marrow nail in the treatment of the trochanteric or subtrochanteric fractures found that there were differences in the reoperation rate after surgery between different types of marrow nails. It was also clear that poor reduction of the front was a risk factor for the removal of internal fixations, and the use of anticoagulators, congested heart failure, and high blood pressure were related to major complications. - ** Malformed healing of the fracture of the femora shaft **: After the treatment of the fracture of the femora shaft caused by malformed healing due to previous trauma with the Clamshell bone incision combined with the nailing, during an average of 2.3 years of follow-up, although there was a certain proportion of complications, the coronoid and sagital deformities were significantly corrected. The difference in the length of both lower limbs was reduced, and the score of the lower limb function scale was significantly improved compared with that before the surgery. - ** Fractures of the Far End of the Leg **: - The development and application of the Scaffold-guided Bone Regeneration Technique for the treatment of long bone defects in the lower limbs (including the distant femurs) achieved good clinical outcomes, demonstrating the potential to transform from the laboratory to the clinic. - The use of parallel double-plate fusion plus ilium bone transplantation for the treatment of patients with nonunion of the fracture of the far end of the femurs, although there was a high proportion of radiologically healed patients and the lower limb function score was improved, the proportion of serious complications was high, and it was not recommended as a conventional treatment method. - A random controlled study comparing the treatment of the fracture of the far end of the femurs with the lateral locking plate and the reversed nailing showed that there was no significant difference between the two groups in terms of knee joint function, walking ability, ability to go up and down stairs, the occurrence rate of adverse events, and the type of adverse events. While waiting for the TV series, he could also read the exciting content related to this site!

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