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对于可怕的三合体损伤修复的广泛觉醒方法:两起案件的报告

Ian Jason Magtoto¹, David Alagar¹

¹Hand and Microsurgery Unit, Department of Orthopedics, Philippine Orthopedic Center, Quezon City, Philippines.

Journal of hand surgery global online

|June 16, 2023

概括

完全清醒的局部麻醉无护 (WALANT) 技术为可怕的三元肘部损伤提供了可行的手术选择,使得手术内稳定性测试成为可能. 这种方法可能是选择患者的全身麻醉的替代方案.

科学领域:

整形外科手术整形外科手术
麻醉学麻醉学

背景情况:

对上肢手术而言,已建立了 wide-awake 局部麻醉无护套 (WALANT) 技术.
它在治疗可怕的三元肘部损伤中的应用仍然未经证实.

研究的目的:

介绍使用WALANT技术手术固定可怕的三元肘部损伤的初始病例.
评估WALANT在这种特定伤害模式中的可行性和结果.

主要方法:

两名患有可怕的三元肘部损伤的患者在WALANT麻醉下进行了手术固定.
程序包括冠状体螺丝固定,辐射头替换和冠状体线拉索.
在手术期间的肘部稳定性在固定后的动作范围活动期间被评估.

主要成果:

在这两种情况下,使用WALANT技术实现了成功的手术固定.
在活跃的运动范围内进行手术内稳定性测试是可行的.
挑战包括麻醉注射期间局部疼痛和患者肩部因固定不动而感到不舒服.

结论:

沃兰特麻醉是一种潜在的替代全身或区域麻醉,用于在精选患者中手术固定可怕的三元肘部损伤.
该技术允许通过活动范围的运动测试,对肘部稳定性进行关键的手术内评估.

关键词:

肘部脱位肘部脱位肘部骨折肘部骨折肘部骨折放射性头部关节整形术这可怕的三合一.瓦伦特是一个伟大的人.

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