延伸肌损伤的管理,涉及远半径骨折
Praveen Bhardwaj1, Vigneswaran Varadharajan1, Darshan Jain2
1Department of Hand and Microsurgery, Ganga Medical Centre and Hospitals Pvt. Lt., Coimbatore, India.
Journal of orthopaedics
|December 13, 2023
概括
距离半径骨折后延伸肌的破裂是罕见的,但具有挑战性. 及时的手术干预和适当的管理算法使得患有这些伤害的患者获得了令人满意的结果.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 创伤外科 手术 创伤外科
背景情况:
- 延伸肌的破裂是远距离半径骨折后的罕见并发症.
- 在骨折固定中使用的植入物有时被错误地认为是肌破裂的原因.
研究的目的:
- 分析在远半径骨折后导致延伸肌破裂的因素.
- 建议预防措施,并描述这些断裂的管理策略.
主要方法:
- 对21名因延伸肌破裂而接受治疗的患者 (2014-2022) 的回顾性分析.
- 时间间隔的评估,受伤的肌,植入物撞击和重建方法.
主要成果:
- 延伸器波利西斯长断裂是最常见的.
- 从固定到破裂的平均时间为32.5个月.
- 肌重建涉及肌间桥接 (10名患者) 或肌移植 (11名患者),所有患者都实现了全指伸展.
结论:
- 与远半径骨折相关的延伸肌损伤带来了外科手术的挑战.
- 及时呈现和遵守管理算法可以导致高患者满意度.
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