用一个半受约束的Scheker DRUJ假肢替换远端射电关节
P A Jawahier1, B M Derksen1, J B Jaquet1
1Department of Hand and Wrist Surgery, Maasstad Hospital Rotterdam, Maasstadweg 21, 3079 DZ, Rotterdam, The Netherlands.
Operative Orthopadie und Traumatologie
|August 2, 2023
概括
谢克尔 (Aptis) 远端射电关节 (DRUJ) 假肢有效治疗关节炎和不稳定性,表现出良好的结果,并发症很少. 这项研究详细介绍了其指示,手术技术和患者结果.
科学领域:
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
- 上肢手术 上肢手术
背景情况:
- 遥远的射电关节 (DRUJ) 关节炎和不稳定性显著损害了手的功能.
- 对于DRUJ病理的救援程序可能只有有限的成功,需要替代治疗.
研究的目的:
- 评估施凯克 (Aptis) DRUJ假肢的指示,手术技术和长期结果.
- 评估与这种特定的DRUJ植入物相关的有效性和并发症率.
主要方法:
- 在48名患者中对50个Scheker假肢进行了回顾性审查 (2016-2021年).
- 手术技术包括DRUJ切除,辐射板固定,节茎/聚合物球插入.
- 手术后的管理包括手术治疗和限制承重.
主要成果:
- 随访时间中位数为29个月. 患者报告的手腕评估 (PRWE) 中位数为手术侧23分,非手术侧5分 (p < 0.005).
- 六名患者出现并发症,包括延伸骨肌炎和骨神经神经瘤. 没有需要拆除的假肢.
结论:
- 谢克尔假肢是一种可行的选择,用于治疗严重的DRUJ关节炎和不稳定.
- 该程序表现出有利的功能结果,并可管理的并发症概况,避免了在这个队列中需要切除假肢的需要.
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