用扭曲的盘子围绕骨跳舞:一个技术笔记
Maxim Vanderstappen1,2, Michiel Herteleer1,3, Harm Hoekstra1,3
1Department of Trauma Surgery, University Hospitals Leuven, Herestraat 39, 3000 Leuven, Belgium.
Indian journal of orthopaedics
|August 1, 2023
概括
碎片形态,而不是大小,指导后骨折 (PMF) 管理. 这项研究提出了一种用于不稳定的脚骨折的新手术技术,通过最小化粘附来改善关节移动性.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 人体解剖学 解剖学 解剖学
背景情况:
- 后骨碎片 (PMF) 在三骨骨折中起着至关重要的作用.
- 碎片形态,而不是大小,决定了PMF管理.
- 关节内脱节和骨切口不一致导致骨关节炎和不良结果.
研究的目的:
- 描述一种用于修复不稳定的脚骨折的新型手术技术,其中包括联合PMF和高超综合性支柱骨折.
- 为了解决传统的后部方法的局限性,例如脚关节的运动限制.
主要方法:
- 一种使用两个小窗口和扭曲的三分之一管状板进行固定的手术技术.
- 尽量减少后侧窗口的大小,以减少纤维粘附和筋缩短.
主要成果:
- 描述的技术允许对PMF和骨骨折进行解剖缩小和固定.
- 缩小窗口大小减少了关节纤维化和肌缩短,保持了脚关节的运动性.
结论:
- 这种技术为复杂的脚骨折提供了有效的解决方案,保留了脚关节的移动性.
- 专注于碎片形态和采用最少的侵入性方法是最佳患者结果的关键.
相关概念视频
Bones of the Lower Limb: Tibia and Fibula
3.7K
The tibia is the main weight-bearing bone of the lower leg. It is larger than the fibula with which it is paired. The tibia is also the second longest bone in the body and is located right below the skin. The proximal end of the tibia forms the medial and the lateral condyle, which articulates with the condyles of the femur to form the knee joint. Between the articulating surfaces is the irregular elevated area known as the intercondylar eminence that serves as the inferior attachment point for...
3.7K
Bones of the Lower Limb: Femur and Patella
2.6K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
2.6K
Ankle Joint
1.6K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.6K
Bones 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


