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半受约束的DRUJ假肢:祝福还是诅咒?

Katharina Sommer1, Ramona Sturm2, Jasmina Sterz2

  • 1Department of Trauma, Hand and Reconstructive Surgery, Goethe University Frankfurt, Theodor Stern Kai 7, 60590, Frankfurt Am Main, Germany. Katharina.Sommer@kgu.de.

European journal of trauma and emergency surgery : official publication of the European Trauma Society
|July 26, 2023
PubMed
概括

阿普蒂斯假肢为远距离放射性关节 (DRUJ) 问题提供了安全有效的解决方案,在25年内没有必要进行修改. 患者在运动和握力方面经历了显著改善,并获得了很高的满意度.

关键词:
阿普蒂斯半受约束的假肢德鲁杰 (Druj) 是一个很好的球员.德鲁伊的关节炎德鲁伊的不稳定性

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科学领域:

  • 整形外科手术 整形外科手术
  • 生物材料科学是生物材料的科学.
  • 重建性手术是一种重建性手术.

背景情况:

  • 远距离放射关节 (DRUJ) 的不稳定性和关节炎带来复杂的治疗挑战.
  • 现有的手术方法往往导致前臂不稳定和有限的旋转.
  • 阿普蒂斯假肢作为完全的DRUJ替代品,特别是在以前治疗失败的情况下.

研究的目的:

  • 评估Aptis假肢的安全性和有效性,用于治疗失败的远端放射关节 (DRUJ) 手术.
  • 评估临床结果,包括运动范围,握力和疼痛水平.
  • 分析Aptis假肢植入后的并发症,放射变化和患者满意度.

主要方法:

  • 对13名接受Aptis假肢的患者 (2016-2021) 的回顾性分析.
  • 记录了临床结果:运动范围 (ROM),握力,疼痛的数值速率缩放 (NRS).
  • 对骨变化和松动的放射评估,以及DASH-Score和患者满意度评估.

主要成果:

  • 对于任何植入的假肢,没有必要进行重大修订或扩展.
  • 取得的平均ROM:68.1°的发音,72.3°的俯卧;握力平均为对侧侧的83%.
  • 低疼痛分数 (NRS 0 休息,1.2 承重);报告的高患者满意度,DASH-Score 平均值为 31.8.8.

结论:

  • 半受约束的Aptis假肢是一种安全有效的治疗,用于失败的远端放射关节 (DRUJ) 手术.
  • 长期跟踪显示,显著没有任何重大修订或解释.
  • 在复杂的DRUJ病例中,Aptis假肢可提供可靠的功能恢复和患者满意度.