开放式与最小侵入性切除第一个甲形关节:一个解剖学研究
Sebastian Schilde1, Dariusch Arbab2, Maria Felsberg1
1Department of Orthopedic and Trauma Surgery, Martin-Luther-University Halle-Wittenberg, Halle, Germany.
Foot & ankle international
|November 15, 2023
概括
这项研究比较了最小侵入性手术 (MIS) 与用于正的开放性手术. MIS显示出类似的安全性,但与开放技术相比,软骨去除的程度略低.
科学领域:
- 整形外科手术 整形外科手术
- 脚和脚手术 脚和脚手术
- 手术技巧 手术技巧
背景情况:
- 修改后的拉皮杜斯关节切除术是适度至重度气 (HV) 的标准手术.
- 已经出现了使用香农来进行第一个甲骨形关节 (MCJ) 切除的最小侵入性技术 (MIS).
- 这项研究将MIS与MCJ切除的开放技术进行比较.
研究的目的:
- 为了比较第一个MCJ切除的解剖疗效和安全性,使用香农 MIS技术与使用振荡的开放技术相比.
- 评估软骨的去除和周围结构的潜在阳性损伤.
主要方法:
- 使用了十对尸体脚,随机分配给MIS或开放的第一个MCJ切除.
- 程序涉及一个dorsomedial方法MIS和开放外科手术中部平板的方法.
- 测量了去除软骨的数量,并评估了附近的结构 (前,延伸长,长肌和Lisfranc带复合体) 的损伤情况.
主要成果:
- 在MIS技术中,形骨切除率为85.9%,甲足骨切除率为85.6%,而在开放技术中这一比例为100% (P < .01).
- 在任何一组中都没有发生Lisfranc带复合体或前/延伸长的阳性损伤.
- 长肌变薄发生在40%的开放病例中,而在MIS病例中只有10%.
结论:
- 在这项尸体研究中,香农MIS技术与开放技术具有普遍的平价性.
- 开放技术带来了更高的长肌稀疏的风险.
- 与开放技术相比,MIS导致大约15%的软骨切除.
相关概念视频
Functional Classification of Joints
Functional Classification of Joints
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
The functional classification of joints is determined by the amount of mobility between the adjacent bones. Joints are functionally classified as a synarthrosis or immobile joint, an amphiarthrosis or slightly moveable joint, or as a diarthrosis, a freely moveable joint. Fibrous and cartilaginous joints can be functionally classified as either synarthroses or amphiarthroses, whereas all synovial joints are classified as diarthroses.
Synarthrosis
An immobile...
Structural Joints: Fibrous Joints
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Structural Joints: Cartilaginous Joints
As the name indicates, at a cartilaginous joint, the adjacent bones are united by cartilage, a tough but flexible type of connective tissue. Unlike synovial joints, these types of joints lack a joint cavity and involve bones joined together by either hyaline cartilage or fibrocartilage.
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary or...
There are two types of cartilaginous joints:
Synchondrosis
A synchondrosis ("joined by cartilage") is a cartilaginous joint where bones are connected by hyaline cartilage. Synchondrosis may be temporary or...
Structural Joints: Synovial Joints
Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
Structural Classification of Joints
Joints, also known as articulations, are classified based on their structural characteristics, i.e., based on whether the articulating surfaces of the adjacent bones are directly connected by fibrous connective tissue or cartilage, or whether the articulating surfaces contact each other within a fluid-filled joint cavity. These differences serve to divide the joints of the body into three structural classifications.
A fibrous joint is where the adjacent bones are united by fibrous connective...
A fibrous joint is where the adjacent bones are united by fibrous connective...


