当前的概念:在距离半径骨折后的关节外形变形的整形骨切术
Samuel C Haines1, Alasdair Bott2
1Trauma and Orthopaedics, Bristol Royal Infirmary, Bristol, GBR.
Cureus
|November 15, 2023
概括
纠正远端放射性骨切除术可以改善半径不良症患者的手腕功能. 这种程序解决了形和不稳定,尽管外科医生必须仔细管理潜在的并发症和患者对最佳结果的期望.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 手和手腕手术手术手术
背景情况:
- 距离半径的骨折不合并会破坏手腕和距离放射关节 (DRUJ) 的生物力学,导致不一致和不稳定.
- 具有显著的辐射变形和功能限制的症状患者,但没有晚期关节炎,是纠正手术的候选人.
研究的目的:
- 审查辐射失联的生物力学后果.
- 概述当前的治疗概念,重点关注远端辐射骨折.
主要方法:
- 放射性失联的生物力学影响的审查.
- 讨论远端辐射骨切除术的手术技术,包括飞行方法和移植考虑.
主要成果:
- 远距离辐射骨切除术是有效的症状角形变形和缩短.
- 功能性改进在不同的技术中始终得到报告.
- 尽管并发症率相当高,但患者满意度很高.
结论:
- 远端放射性骨切除术是针对症状放射性骨折症患者的一种可行的选择.
- 仔细的患者选择和关于风险 (例如,非工会,硬件问题) 的知情同意至关重要.
- 虽然并发症很常见,但该程序往往会导致高患者满意度和功能收益.
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