手腕和远距离放射关节关节整形术:在困难条件下最大限度地提高结果
1Department of Orthopedic Surgery, University of Louisville, Louisville, KY, USA; Louisille Arm & Hand, Louisville, KY, USA.
Hand clinics
|July 15, 2023
概括
手腕关节炎的治疗正在从融合到关节置换 (关节整形术) 演变. 新的设计为手腕关节炎提供了更好的治疗结果,超越了传统的融合程序.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕手术手术手术
- 重建性手术是一种重建性手术.
背景情况:
- 传统的手腕关节炎治疗包括近端排骨切除术,部分手腕融合和全手腕融合.
- 虽然这些传统方法旨在缓解疼痛并保持运动,但往往会产生不可预测或低于最佳的结果.
- 关节置换 (关节整形) 已经成为其他主要关节的标准,如部,膝盖,脚和肩膀.
研究的目的:
- 为了突出手腕关节炎管理的演变.
- 为了引入可靠的手腕关节整形设计的出现.
- 建议在手腕关节炎治疗中转向关节整形术.
主要方法:
- 对手腕关节炎的传统手术治疗方法的审查.
- 融合手术和新兴关节整形手术选项之间的结果比较.
- 对手腕关节置换趋势的分析,反映其他关节.
主要成果:
- 靠近排骨切除和部分融合提供有限的,不可预测的疼痛缓解和运动保存.
- 完全的手腕融合导致手腕运动的完全丧失.
- 可靠的手腕关节整形设计的发展意味着治疗的新时代.
结论:
- 手腕关节炎的治疗正在从融合转向关节塑造.
- 可靠的手腕关节整形设计为传统的融合技术提供了一个有希望的替代方案.
- 进化反映了其他主要关节的成功关节整形趋势,提供了更好的患者结果.
相关概念视频
01:15Bones of the Upper Limb: Ulna
2.3K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
2.3K
01:09Bones of the Upper Limb: Radius
2.3K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.3K