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肘部曲的功能重建与背大肌的旋转转移:两个案例报告
Yuka Kobayashi1, Yoshiyasu Uchiyama2, Shinji Yoshida3
1Department of Orthopaedic Surgery, Tokai University Hachioji Hospital, Ishikawacho, Hachioji, Tokyo, 192-0032, Japan. yuka@is.icc.u-tokai.ac.jp.
Journal of medical case reports
|October 31, 2023
概括
这项研究重建了肌皮神经损伤的患者的肘部曲,使用拉蒂斯木斯背部肌肉转移. 该技术在俯卧和俯卧的姿势中实现了相同的屈曲强度,恢复了肘部关节的功能.
科学领域:
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
- 神经损伤修复 神经损伤修复
背景情况:
- 报告了两例来自肌皮神经损伤的双臂和手腕的病例.
- 突出了严重的神经损伤后恢复肘部曲的挑战.
- 注意到之前缺乏关于前臂在肘部曲重建期间前臂旋转位置的研究.
研究的目的:
- 描述一项用于肘部关节曲重建的新技术.
- 为了评估拉蒂斯木斯背部肌肉转移在恢复肘部曲方面的有效性.
- 为了评估前臂在描述的重建后的旋转稳定性.
主要方法:
- 拉提西姆背肌的旋转转移,以重建肘部曲.
- 将远距离肌肉分为辐射侧和侧,以同时激活腹辐射和腹关节.
- 将肌肉部在辐射和结节以及双臂臂/双臂肌结节的上.
主要成果:
- 在俯卧和俯卧前臂位置实现同等的肘部曲强度.
- 不管前臂的旋转情况如何,部和部关节的稳定性未受到影响.
- 在手术后为肘部关节获得了令人满意的运动范围.
结论:
- 斜背脊旋转转移技术成功地恢复了肘部的曲.
- 前臂旋转位置不会影响肘部关节的稳定性或曲强度.
- 这种方法提供了一种可行的解决方案,用于神经损伤后肘部曲重建.
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