关节镜下梯形肌移植,用于患有下神经损伤和并发旋转手套撕裂的患者:病例报告和技术说明
Jeff Loren1,2, Chuieng-Yi Johnny Lu3,4, Cheng-Pang Yang1
1Department of Orthopedic Surgery, Linkou Chang Gung Memorial Hospital, Taoyuan 333, Taiwan.
Medicina (Kaunas, Lithuania)
|October 28, 2023
概括
形转移手术可以恢复肩膀的外部旋转和稳定性,当初始神经重建失败时,在尾神经受伤后. 这种肌转移改善了日常生活活动和肩膀功能.
科学领域:
- 整形外科手术 整形外科手术
- 神经外科 神经外科
- 重建性手术是一种重建性手术.
背景情况:
- 同时发生的神经和肌肉骨损伤,在治疗中带来了重大挑战.
- 在神经受伤后,恢复肩部绑架和外部旋转至关重要.
- 肌移植,如梯形移植,是对患者的可行的选择,因为初级神经重建的结果不令人满意.
研究的目的:
- 为了评估ipsilateral下梯形转移在改善肩膀外部旋转和稳定性的有效性.
- 评估关神经损伤后和先前未能重建的患者的功能结果.
主要方法:
- 一个32岁的男性的病例介绍,在股神经后的重建后,他持续表现出弱外部旋转.
- 外科手术涉及到一个ipsilateral下梯形转移到下脊椎.
主要成果:
- 下梯形转移改善了关节反应力,提供了更好的压力-分散和前后平衡.
- 它通过重建前后力对来恢复了集中力,增强了肩部的稳定性.
结论:
- 侧下梯形转移到内脊椎是改善肩膀外部旋转和稳定的有效程序.
- 这种重建技术提高了后神经损伤和不令人满意的先前神经重建的患者的生活质量和日常生活活动.
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