全针技术用于固定不稳定的移位远部关节骨骨折
Gregory Cunningham1,2, L Alejandro Culebras Almeida2,3, Morgan Gauthier1
1Division of Orthopaedics and Traumatology, University Hospitals of Geneva, Geneva, Switzerland.
JSES reviews, reports, and techniques
|August 17, 2023
概括
这项研究表明,全针技术在移位远部关节骨骨折方面提供了很好的结果. 这种最少的侵入性方法提供了稳定的固定和高的联合率,与传统方法相比,并发症更少.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 骨的创伤 骨的创伤
背景情况:
- 流离失所的尼尔II类型和V类型的关节骨骨折通常需要在活跃的患者中进行手术干预.
- 在这些骨折中固定远端碎片是一个手术挑战,没有建立最佳治疗方法.
- 骨架接技术已经成为治疗关节骨骨折的流行方法.
研究的目的:
- 描述一种新的全针技术,用于移位的Neer II型和V型关节骨骨折.
- 为了前性地评估这种全接技术的临床和放射性结果.
主要方法:
- 在2017年至2020年期间治疗的15名移位急性远端关节骨骨折患者的前性病例系列.
- 一种全针的开放技术,涉及使用Ethibonds和SutureTapes进行心脏关节和骨折 cerclage.
- 使用单一评估数值评估 (SANE) 和调整的常数得分来评估临床结果;在1年后续期间,通过X射线图证实了放射性结合.
主要成果:
- 12个月的优秀临床结果,平均SANE为98.2和平均调整后的恒定得分为99.0.
- 在3至12个月内93%的高骨折结合率.
- 报告了一例过渡性肩部硬和一个无症状的恶性联合病例,整体并发症不大.
结论:
- 全固定技术是偏离距离关节骨骨折的最小侵入性选择,可以获得出色的临床和放射性结果.
- 这种技术允许进行解剖缩小和稳定固定,与传统方法相比,但并发症可能更少.
- 优点包括更小的外科暴露,避免硬件问题,并消除重新操作的硬件移除.
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