指元手足法关节形术后的并发症和计划外的重新手术
Ingmar W F Legerstee1, Oscar Y Shen2, Kevin Kooi3
1Hand and Arm Service, Department of Orthopaedic Surgery, Massachusetts General Hospital, Boston, MA; Department of Plastic, Reconstructive and Hand Surgery, Erasmus Medical Center, Rotterdam, the Netherlands; Harvard Medical School, Boston, MA.
The Journal of hand surgery
|January 5, 2024
概括
与张力带技术相比,指元手臂关节关节 (MCP) 关节节修复的螺丝固定显示出更少的并发症和更好的结合率. 这项研究强调了螺丝固定作为指关节融合的潜在优越方法.
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
- 手术结果研究研究.
背景情况:
- 指元手腕关节 (MCP) 关节形是治疗关节炎和不稳定的常见手术程序.
- 现有的关于硬件并发症和非工会率的研究通常涉及小样本大小,限制了概括性.
研究的目的:
- 为了确定指MCP关节关节术后的硬件并发症率和非联合率.
- 为了比较脚MCP关节的螺丝固定与张力带关节切除的结果.
- 报告通过不同的固定方法实现的工会率.
主要方法:
- 在2004年至2020年期间,在5家医院进行MCP关节关节术的122个指的回顾性审查.
- 分析了患者因硬件并发症和非联合而导致的无计划的重新手术.
- 在张力带和螺杆固定组之间比较了放射性结合率.
主要成果:
- 总体而言,18%的指出现了硬件并发症,9%的指出现了非联合.
- 螺丝固定显示没有硬件并发症或随后的移除需要.
- 与张力带 (14%) 相比,螺丝固定 (4%) 的非联合率明显较低.
- 在91%的螺丝固定案例中,实现了放射性结合,而紧张带则达到81%.
结论:
- 与指MCP关节融合的张力带关节切除相比,螺丝固定似乎提供较低的硬件并发症和重新操作率.
- 这些发现表明,螺丝固定可能是成功实现指MCP关节关节切除的更可靠的技术.
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