在接受肩膀关节整形手术的患者中,腕缺陷
Elliott Cochrane1, Sam Vollans2, Gráinne Bourke1,3
1Department of Plastic and Reconstructive Surgery, Leeds Teaching Hospitals, Leeds, UK.
Shoulder & elbow
|September 11, 2023
概括
肩关节整形手术可能导致神经缺陷,但逆向全肩关节整形手术 (rTSA) 的发生率很低. 建议在肩膀手术后管理神经损伤时谨慎使用手术技术和咨询专家.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 患者的治疗结果.
背景情况:
- 肩关节整形手术后的神经缺陷导致了患者的显著发病率.
- 了解神经损伤的发生率和模式对于改善手术结果至关重要.
研究的目的:
- 为了确定肩膀关节整形术后神经损伤的发生率和模式.
- 评估神经恢复,并确定在肩部置换手术过程中神经损伤的潜在预防措施.
主要方法:
- 对2014年9月至2019年8月期间进行的肩膀关节置换术进行了回顾性审查.
- 数据是从患者记录中提取的,不包括先前存在的神经损伤的病例.
主要成果:
- 总共进行了220次肩关节整形手术,整体神经缺陷率为2.3% (5/220).
- 所有五个神经缺陷都发生在逆向全肩关节整形术 (rTSA) 后;两个在12个月内消失,两个是持久的.
- 对于一个神经缺陷的患者,观察到不完整的随访.
结论:
- 这一系列RTSA中的神经损伤率很低,与现有的系统审查数据一致.
- 对rTSA的预防策略包括细致的软组织处理,精确的手臂定位和避免过度降低旋转中心.
- 手术后的神经缺陷需要专门的神经外科咨询和建立的转诊途径,以便及时管理.
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