定量性皮状穴厚度和接近阻塞神经血管束:对关节带关节的含义 teres重建
Jacek Mazek1, Nader Helmy2, Antonio Porthos Salas3
1Clinic of Orthopaedic and Traumatology, Regional Hospital and Kochanowski Medical University, Grunwaldzka 45, Kielce 25-736, Poland.
Journal of hip preservation surgery
|January 1, 2024
概括
带状洞在带接处厚度约为4.1毫米. 在关节带形重建期间用12毫米皮质按固定关节带形手术是安全的.
科学领域:
- 整形外科手术 整形外科手术
- 关节透视术 关节透视术
- 人体解剖学 解剖学 解剖学
背景情况:
- 关节 (LT) 在关节的稳定性中起着至关重要的作用.
- 关节镜LT重建 (LTR) 是一种新兴的手术.
- 了解体和周围的神经血管结构之间的解剖关系对于安全的LTR至关重要.
研究的目的:
- 为了测量体内皮质的厚度在acetabular LT附着部.
- 在LTR期间评估阻塞神经血管束的清除.
- 评估不同固定方法的安全性,以在LTR中固定移植.
主要方法:
- 在55名接受全关节整形手术的患者中,使用深度计在体内测量状骨厚度在状骨 LT 附着部.
- 在7名患者 (14个部) 中进行计算机断层扫描血管造影,以确定阻塞神经血管束与状LT附件的最小距离 (清除).
主要成果:
- 在乙骨 LT 附着部的皮状的平均厚度为 4.1 ± 2.3 mm (范围:1-10 mm).
- 阻塞静脉是最接近的结构,但清除在所有测量的情况下都超过了15毫米的安全区域.
- 使用12毫米皮质按进行的乙体固定被认为对闭塞器神经血管结构是安全的.
结论:
- 由于潜在的风险,骨可能不适合在LT重建中进行移植固定.
- 一个皮质按是一种更安全的替代品,用于在关节镜LT重建中固定体移植.
- 这些发现有助于更好地了解皮质的解剖学,并为关节镜LTR的手术决定提供指导.
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