用带和延伸器支肘的固定与后侧不稳定性由于阴茎:一个案例报告
Nikolaos Platon Sachinis1, Knut Beitzel2, Daniel Moya3
1First Orthopaedic Department, "Georgios Papanikolaou" Hospital, Aristotle University of Thessaloniki, Thessaloniki, Greece.
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|November 9, 2023
概括
带增大和双排延伸器再固定可以改善肘部功能,在患者的侧侧侧带缺陷造成的肘部. 这种手术方法显示出有希望的短期功能结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肘部生物力学 肘部生物力学
背景情况:
- 立方体变形,通常是由于童年超骨折造成的,可以导致侧侧带功能不充分.
- 侧侧附带带复合体的不稳定性显著影响肘部功能和生活质量.
研究的目的:
- 为了评估带增大和双排延伸器再固定在治疗侧侧侧侧带缺陷的治疗效果.
- 评估术后的短期功能结果和患者报告的得分.
主要方法:
- 一个涉及54岁患者的案例研究,该患者患有侧侧带功能缺陷,这是次要的 cubitus varus.
- 外科手术包括关节溶解/突切除,然后进行双排延伸器原点再固定和使用带和杆支侧侧侧侧关节带.
- 功能性结局使用梅奥手肘表现和手臂,肩膀和手的残疾分数在手术后的3,6,12和24个月进行评估.
主要成果:
- 患者表现出极好的功能恢复,在24个月后获得了完美的梅奥肘部性能得分 (100) 和非常低的手臂,肩膀和手的残疾得分 (2.5).
- 从手术后的第三个月开始,观察到肘部功能的显著改善.
结论:
- 带增大结合双排延伸器再固定是一种可行的手术选择,用于管理侧侧侧带复杂性缺陷在肘部.
- 这种联合手术技术提供了改善的短期功能结果,提高了肘部的稳定性和性能.
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