对头骨进行手术的方法:一个比较的解剖学研究
Nicolas Gallusser1, Patrick Goetti2, Geoffroi Lallemand2
1Department of Orthopaedic and Trauma Surgery, Valais Hospital, Sion, Switzerland.
Journal of shoulder and elbow surgery
|October 27, 2023
概括
后骨分裂方法比科切尔方法提供了更好的暴露骨髓骨质炎解剖 (OCD) 的骨头. 结合这两种方法,可以为肘部手术提供完整的关节表面可视化.
科学领域:
- 整形外科手术 整形外科手术
- 肘部关节镜检查 肘部关节镜检查
- 运动医学 运动医学
背景情况:
- 骨头骨髓骨质炎 (OCD) 是年轻运动员肘部功能障碍的常见原因.
- 对于大规模或不稳定的强迫症病变,可能需要使用骨髓体自体移植进行手术重建.
- 对于资本性强迫症,有各种不同的手术方法,最常见的是后骨分裂和横向方法.
研究的目的:
- 为了比较使用科赫的方法与后骨分裂方法的部头骨暴露的关节表面积.
- 评估通过释放侧侧关节附带带 (赖廷顿方法) 获得的额外暴露.
主要方法:
- 在8个成年尸体肘部上进行了三个手术方法 (科赫,骨分裂,赖特顿).
- 每次接近后,都测量了头骨的可见关节表面.
主要成果:
- 后骨分裂方法可视化了74%的头骨表面,远远超过科赫方法 (49%).
- 赖廷顿的方法实现了93%的可视化.
- 结合Kocher和anconeus分裂方法,可以访问100%的关节表面.
结论:
- 骨分裂方法在后头骨性强迫症病变中是有效的,而科切尔方法适用于前头病变.
- 综合方法提供了资本关节表面的完整可视化,有利于强迫症治疗.
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