后面的状骨暴露
Brad Meulenkamp1,2,3, Hakim Louati1,4, John Morellato1,2
1Division of Orthopaedic Surgery, The Ottawa Hospital.
OTA international : the open access journal of orthopaedic trauma
|September 4, 2023
概括
经过修改后端中间外科手术方法提供显著更大的曝光和螺丝固定选项后部骨 (PM) 骨折相比后端侧侧的方法.
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:
- 后骨骨折 (PM) 是与脚创伤相关的常见损伤.
- 这些骨折在暴露和固定方面带来了重大的外科挑战.
- 了解脚和综合症的稳定性对于不断发展的手术指示至关重要.
研究的目的:
- 为了比较后骨骨折的后侧侧面和修改后中侧侧的外科手术方法.
- 为了确定每个方法所暴露的最大表面积.
- 为了定义在尸体模型中固定可获得的最大螺丝轨迹.
主要方法:
- 一个生物机械研究使用12个新鲜冷的尸体四肢.
- 在每个四肢上进行了后侧侧和修改后中侧的方法.
- 使用CT扫描和激光表面扫描测量暴露的骨表面积和最大螺丝轨迹.
主要成果:
- 经过修改后端介面方法,暴露面积显著增加 (99%对64%,P < .05).
- 这种方法允许对后偏骨进行更多的仪器仪表 (77%与46%相比,P < .05).
结论:
- 修改后端介面方法为PM骨折提供了更好的曝光和更广泛的仪器访问.
- 这种方法推用于复杂的PM骨折,特别是哈拉古奇2型模式.
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