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改善对创伤复杂肘部不稳定性的理解.

John J Heifner1, Deana M Mercer

  • 1From the Miami Orthopaedic Research Foundation, Miami, FL (Dr. Heifner), and the University of New Mexico Department of Orthopaedics and Rehabilitation, Albuquerque, NM (Dr. Mercer).

Journal of the American Academy of Orthopaedic Surgeons. Global research & reviews
|September 25, 2023
PubMed
概括

复杂的创伤性肘部损伤的手术治疗比保守的方法产生更好的结果. 具有稳定固定性的快速外科干预允许早期动员,从而改善急性和慢性病例的结果.

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The upper limb consists of the arm, forearm, wrist, and hand bones. The humerus is the single bone of the upper arm region. Proximally, it has a large, spherical, smooth head that articulates with the glenoid cavity of the scapula to form the glenohumeral or shoulder joint. The margin of the head is the anatomical neck, a residual epiphyseal plate. Laterally it extends to form bony projections called the greater tubercle and the lesser tubercle. Next to the tubercles is the surgical neck, a...
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科学领域:

  • 整形外科手术 整形外科手术
  • 创伤护理 创伤护理
  • 肘部生物力学 肘部生物力学

背景情况:

  • 复杂的创伤性肘部伤害在保守或不充分的手术管理下带来了显著的发病风险.
  • 越来越多的证据强调了肘部不稳定病例的改善结果.
  • 更好地了解伤害模式和固定技术至关重要.

研究的目的:

  • 审查复杂的创伤肘部损伤手术治疗的最新进展.
  • 强调迅速的外科干预和稳定的内部固定的好处.
  • 讨论手术后立即动员对临床结果的影响.

主要方法:

  • 关于复杂创伤肘部损伤的最新文献的审查.
  • 基于手术固定和动员协议的结果分析.
  • 保守治疗方法和手术治疗方法之间的结果比较.

主要成果:

  • 与保守管理相比,手术治疗显示出更好的临床结果.
  • 稳定的内部固定,使手术后立即动员成为令人满意的结果的关键因素.
  • 更好地了解伤害模式可以提高外科手术的成功.

结论:

  • 对于复杂的创伤性肘部损伤,以稳定的内部固定进行及时的手术管理是必不可少的.
  • 手术后早期动员对于获得更好的临床结果至关重要.
  • 手术干预提供了较低的发病风险和更好的结果,对于急性和慢性肘部损伤.

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