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软组织延长用于曲 骨的脱位 软组织延长
1Department of Orthopaedic Surgery, William Beaumont Hospital, Royal Oak, Southfield, USA.
Current reviews in musculoskeletal medicine
|September 4, 2023
概括
强制性骨位移,一种罕见的膝盖不稳定性,由于四头肌收缩而发生. 治疗包括软组织延长手术,通常与其他重建技术相结合,以获得成功的结果.
科学领域:
- 整形外科 整形外科 整形外科
- 运动医学 运动医学
- 生物力学 生物力学
背景情况:
- 强制性骨位移或习惯性位移是一种罕见的骨骨不稳定性的形式.
- 由于四头肌肌肉收缩,由于四头肌肌肉收缩,每次膝盖曲时,骨会脱而出.
- 它与反复的侧面带脱不同,它涉及侧面软组织收缩,而不是中间破坏.
研究的目的:
- 审查关于强制骨脱位的病理生理学的现有文献.
- 探索这种情况的当前和历史治疗策略.
- 突出独特的生物力学因素,有助于习惯性关突起.
主要方法:
- 关于强制带脱位的研究的文献综述.
- 对病理生理学和治疗结果的分析.
- 综合有关手术干预及其疗效的信息.
主要成果:
- 强制性脱位经常出现在行走期间的儿童身上,其特点是无痛的侧侧位移.
- 根本原因是侧面软组织收缩,与中部软组织问题形成鲜明对比.
- 成功管理通常需要软组织释放/延长与近端和远端重建程序的组合.
结论:
- 50多年来,软组织延长一直是治疗的基石.
- 结合手术程序和仔细的手术内评估对于最佳结果至关重要.
- 需要对标准化措施进行进一步的研究,以确定最佳治疗算法.
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