膝关节前部疼痛可以通过骨的位置来解释吗? 在骨内内钉后?
Batuhan Gencer1, Alperen Yiğit2, Can Çamoğlu2
1Department of Orthopaedics and Traumatology, Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, İstanbul, TUR.
Cureus
|November 29, 2023
概括
骨内内钉 (IMN) 没有改变骨高度. 然而,在IMN手术后,状松平衡的变化与前膝关节疼痛有关.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 放射学 放射学是一门学科.
背景情况:
- 前膝关节疼痛是骨内甲钉 (IMN) 后的常见并发症.
- 下骨 IMN对骨定位的影响及其与疼痛的关联需要进一步研究.
研究的目的:
- 为了评估手术后的骨位置,在骨下面的骨直后,IMN.
- 为了确定形位置和前膝关节疼痛发生率之间的关系.
主要方法:
- 分析了2019-2022年间接受骨IMN并患有术后前膝关节疼痛的患者队列.
- 使用手术肢体和逆侧肢体的侧面放射图测量了骨高度指数和斜角角.
- 标准化的放射测量包括Insall-Salvati,Blackburne-Peel,Caton-Deschamps以及骨-骨肌角.
主要成果:
- 在破裂和完整的侧面之间,没有观察到骨高度指数的显著差异.
- 在手术和逆侧四肢之间发现了状角角的统计学上显著差异,平均变化约为三度.
- 这表明IMN后骨倾斜或旋转的潜在变化.
结论:
- 状松平衡的变化可能会导致前膝关节疼痛后骨 IMN.
- 进一步的生物机械和临床研究是有必要的,以阐明这些发现的确切机制和影响.
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