骨关节稳定:我们对锁定技术的经验
Ashish Narang1, Ali Abdelwahab1, Nitish Raj1
1Department of Orthopaedics, Medway NHS Foundation Trust, United Kingdom.
Journal of orthopaedics
|September 8, 2023
概括
锁定 (LockdownTM) 技术显示了对关节 (AC) 关节损伤的优秀患者满意度,其中95.2%报告了良好或优秀的结果. 常见的并发症包括突出的硬体和硬,但放射性复并不会影响患者的满意度.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 创伤学 创伤学 创伤学
背景情况:
- 脊椎关节 (AC) 关节损伤是一种常见的损伤,需要多种不同的手术治疗.
- 诸如LockdownTM,修改Weaver-Dunn,关节镜稳定和LARS之类的程序具有不同的结果.
研究的目的:
- 通过使用LockdownTM技术评估AC关节重建的功能和放射性结果.
- 分析涵盖了梅德威海事医院10年的时间.
主要方法:
- 对接受AC关节重建的53名患者 (2012-2021) 的回顾性评估.
- 通过电子记录和电话采访收集的数据 (牛津肩部分数,QuickDASH).
- 使用医院PACS数据对AC关节缩小的放射性评估.
主要成果:
- 分析了42名患者 (92.9%是男性,平均年龄为42.2岁,平均随访时间为68个月).
- 大多数人患有洛克伍德V型受伤 (71.43%).
- 在牛津肩部分数 (21.3至44.3) 和QuickDASH (50.6至9.1) 中显著改善.
- 81%的人表现出放射性减少;19%的人出现了复,但很少影响满意度.
- 95.2%的人报告出色或良好的结果.
结论:
- 锁定TM技术在超过95%的病例中提供了优秀或良好的患者满意度,并进行了长期随访.
- 突出的金属加工和刚性是最常见的临床并发症.
- 在大约20%的病例中观察到放射性复,但与患者的不满情绪无关.
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