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长期评估腰椎神经功能在患有远端腰椎骨折的患者治疗与开放的减少和内部固定:神经导电研究的长期评估:神经导电研究

Serkan Bayram¹, Yaşar Samet Gökçeoğlu¹, Alper Şükrü Kendirci¹

¹Department of Orthopedics and Traumatology, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.

Journal of orthopaedic trauma

|September 27, 2023

概括

长期电肌图 (EMG) 揭示了远端骨骨折手术后的患者显著的部神经功能障碍. 许多患者的神经幅度和传导速度相比,与未受影响的侧面相比,有所减少.

科学领域:

整形外科手术整形外科手术
神经学神经学
生物医学工程生物医学工程

背景情况:

远端骨骨折是一种复杂的伤害,需要手术干预.
开放式减少和内部固定 (ORIF) 是这些骨折的常见治疗方法.
在此类手术后,可以出现神经并发症,影响长期功能.

研究的目的:

为了评估长期的部神经功能后ORIF的远部骨骨折.
通过使用电肌图 (EMG) 来确定部神经病变的患病率和严重程度.
为了将EMG发现与部神经病变的临床症状相关联.

主要方法:

一个回顾性队列研究,对52名患有远部骨骨折的患者进行了ORIF治疗.
最低5年的随访期. 最低5年的随访期.
神经传导测试 (NCT) 和修改的麦高温分级系统被用于评估部神经功能和神经病变症状.

主要成果:

超过40%的患者表现出部神经功能异常的EMG结果.
在骨折和未受影响的肘部之间,在运动和感觉幅度和速度上观察到显著的差异.
部神经运动手腕-引器指数最小延迟和感觉传导速度与部神经病变的临床分级有显著的相关性.

结论:

远端骨骨折的ORIF与长期的,可测量的神经功能缺陷有关.
与未受影响的侧面相比,在骨折的肘部观察到感觉幅度显著下降 (平均为25%).
这些发现凸显了手术后监测部神经状态的重要性.

关键词:

远部骨骨折骨折远部骨骨折电动肌谱学电动肌谱学神经传导的神经传导部神经是一种神经.

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