手腕关节切除使用远距离半径的形形移植和低形重建板
Anil K Bhat1, G Mithun Pai1, Ashwath M Acharya1
1Department of Hand Surgery, Kasturba Medical College, Manipal, Manipal Academy of Higher Education, Manipal, 576104 India.
Indian journal of orthopaedics
|June 29, 2023
概括
远半径骨移植为手腕关节切除提供了一种可靠的替代方案,实现了成功的融合并提高了患者的满意度. 这种技术提供了一个可行的选择,传统的阴茎骨移植.
科学领域:
- 整形外科 整形外科 整形外科
- 手术创新 在外科创新.
- 骨移植技术 骨移植技术
背景情况:
- 传统的手腕关节切除术经常使用下脊骨移植,这与显著的捐赠者部位发病率有关.
- 距离半径骨移植正在成为一个受欢迎的替代方案,因为减少了捐赠者部位的并发症.
- 这项研究研究了一种新的方法,使用距离半径的梯形形形移植.
研究的目的:
- 通过使用远半径骨移植来评估手腕关节节的放射性和功能性结果.
- 评估低距离重建板与远距离半径移植一起使用的疗效.
- 为了将这种技术与传统的骨移植方法进行比较.
主要方法:
- 追溯审查22个手腕关节形病例.
- 移植来源:从远端半径开始的梯形.
- 通过放射和功能结果通过视觉模拟尺度问卷评估融合结合.
- 平均随访时间为31个月.
主要成果:
- 在所有22个合并中都成功结合,平均合并时间为12周.
- 实现了最佳的手腕定位:17.5度的延伸和6度的肘部偏移.
- 腕部美学和整体患者满意度的显著改善.
结论:
- 远距离半径皮质-状移植是一种可靠的替代品,可用于手腕关节病变的阴茎或手掌骨移植.
- 这种植入物为低形状的重建板提供了稳定的支架,最大限度地减少了植入物突出位置和断裂风险.
- 重建 (3.5 系统) 板是安全有效的这个程序,产生出色的结果.
关键词:
关节切除术 (英语:Arthrodesis) 是一种关节切除术.臂状交叉 (Brachial Plexus) 是一个手臂的交叉.核聚变技术是可以实现的.类风湿性关节炎 类风湿性关节炎 类风湿性关节炎他们的手腕.更多相关视频
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