被忽视的肘部脱位的功能结果,用双重方法手术治疗
Tito Sumarwoto1, Seti Aji Hadinoto1, Dina Aprilya2
1Orthopaedic Upper Limb and Microsurgery Division, Orthopaedic & Traumatology Departement, Prof. DR. R. Soeharso Hospital, Surakarta - Faculty of Medicine Sebelas Maret University, Surakarta, Indonesia.
Orthopedic research and reviews
|September 27, 2023
概括
使用双重方法的开放缩小手术有效地治疗被忽视的肘部脱位,改善功能和稳定性,并发症最小. 这种方法为慢性肘部损伤提供了有希望的解决方案,提高了患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 重建性手术是一种重建性手术.
背景情况:
- 在发展中国家,被忽视的肘部脱是普遍存在的,由于长期存在,这给人带来了复杂的挑战.
- 对于被忽视的肘部脱位现有治疗方法的结果各不相同.
- 本研究探讨了对这些复杂案件进行有效管理的必要性.
研究的目的:
- 为了评估双重方法和K线固定对被忽视的肘部脱位的开放减少的有效性.
- 通过使用标准化结果措施来评估功能恢复.
主要方法:
- 一系列9名患有被忽视的肘部脱的患者接受了治疗.
- 采用双重方法 (中间和侧面切口) 进行了开放的减少.
- 患者被跟踪至少六个月,根据梅奥肘部性能指数 (MEPI) 和手臂,肩膀和手的残疾 (DASH) 评分进行评估.
主要成果:
- 平均MEPI评分为86.67,分别有4个优秀和5个好评分.
- 平均DASH分数为36;55.56%的人报告没有疼痛.
- 运动弧度显著改善 (平均74.44°),88.89%的运动实现了肘部稳定.
结论:
- 采用双重方法进行开放式减轻,为忽视的肘部脱位提供了有利的结果.
- 该技术表现出良好的安全性,并有可控的并发症.
- 对于患有慢性肘部脱的患者,应考虑这种手术方法.
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