滑轮重建的三环技术 - - 23名患者的回顾性队列分析
Simon Oeckenpöhler1, Martin Franz Langer1, Matthias Michael Aitzetmüller-Klietz2
1Department of Trauma, Hand and Reconstructive Surgery, University Hospital Münster, Waldeyer Str. 1, 48149 Münster, Germany.
Journal of clinical medicine
|August 12, 2023
概括
冲双或三环技术有效地重建曲肌轮,恢复良好的手指功能和破裂后可接受的患者满意度. 这种手术方法有助于恢复日常活动的手工敏捷性.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 肌肉骨研究 研究
背景情况:
- 柔肌轮的破裂,通常是阳性或创伤性,显著损害了手的功能.
- 数字柔肌轮的重建对于恢复手指生物力学至关重要.
研究的目的:
- 评估Okutsu双或三环技术用于曲肌滑轮重建的有效性.
- 为了评估这个手术后的功能结果和患者满意度.
主要方法:
- 23名轮破裂的患者接受了Okutsu轮重建.
- 使用ROM,疼痛评分,DASH,握力和其他功能评估来测量结果,与未受伤的一侧相比.
- 平均随访时间为4.66年.
主要成果:
- 患者满意度的中位数为6.6/10,DASH分数为9.5,表明手部功能良好.
- 握力略有下降13%,手指与手掌之间的距离从2.2厘米提高到1.45厘米.
- 克里默和巴克-格拉姆科分数支持有利的功能恢复.
结论:
- 冲双或三环技术为柔肌轮重建提供了可接受的患者满意度和良好的功能恢复.
- 这种方法在长期恢复日常活动的手指功能方面表现出有效性.
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