用临时关节关节固定钉固定切除脚的瘤
Gyeong-Gu Bak1, Ho-Seong Lee2, Young-Rak Choi2
1Department of Orthopaedic Surgery, Inje University Haeundae Paik Hospital, College of Medicine, Inje University, Busan, Korea.
Clinics in orthopedic surgery
|August 2, 2023
概括
在囊切除后,脚间关节 (IPJ) 的临时针固定有效地防止复发. 这种手术技术有助于在IPJ附近的脚囊愈合,减少重复手术.
科学领域:
- 整形外科手术 整形外科手术
- 足部外科手术 足部外科手术
- 皮肤外科手术皮肤外科手术
背景情况:
- 脚腺囊经常引起症状,并且往往会复发.
- 复发通常是由于囊和间关节 (IPJ) 或肌盖之间的沟通病变.
- 限制关节和肌运动可以改善手术愈合.
研究的目的:
- 为了评估脚节囊切除后IPJ临时针固定的临床结果.
- 为了确定针固定在预防囊复发中的有效性.
主要方法:
- 十六名患有症状脚腺囊的患者接受了手术治疗.
- 十名患者接受了简单的切除术;六名患者接受了临时IPJ针固定切除术.
- 仅切除后出现复发的两名患者经过了重复切除,并进行了针固定.
主要成果:
- 在16个不靠近IPJ的囊中,有2个仅通过切除而治愈.
- 在IPJ附近的14个囊中的7个仅在初始切除后就复发了.
- 经过切除和针固定治疗的八个囊没有复发,其中包括两例先前复发的病例.
结论:
- 临时IPJ针固定是一种有效的方法,可以防止脚关节囊在IPJ旁边复发.
- 这种技术有助于愈合,并减少了重新手术的需要.
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