随着Volar锁定板的近距离孔的过度透而出现的解剖学风险
Daniel Y Hong1, Jennifer A Kunes1, Liana J Tedesco1
1Columbia University Medical Center, New York City, New York.
Journal of wrist surgery
|January 12, 2024
概括
距离半径骨折 (DRF) 的飞行锁定板 (VLP) 中的近距离螺丝孔可能会刺激第一个背部部分肌肉腹部,但不会穿透延伸. 高达2mm突出的螺丝可能是安全的.
科学领域:
- 整形外科手术 整形外科手术
- 人体解剖学 解剖学 解剖学
- 生物力学 生物力学
背景情况:
- 伏拉锁板固定 (VLP) 是对偏半径骨折 (DRF) 的标准治疗方法.
- 众所周知,VLP中远端螺杆放置的背部结构损伤的风险是已知的.
- 在VLP中,与近端螺杆孔固定相关的风险仍未得到充分研究.
研究的目的:
- 为了评估背部结构损伤的解剖风险.
- 特别调查从螺丝放置在洞近距离VLP的远距离行中的伤害.
主要方法:
- 九个尸体前臂被用于研究.
- 在飞行距离半径暴露后,进行了长时间的VLP.
- 通过靠近的螺丝孔插入基尔施纳线,以确定背腔透,并从背部皮层进行测量.
主要成果:
- 透发生在绑架器长 (APL) 和延伸器短 (EPB) 的肌肉腹部,但不是延伸.
- 肌肉透的可能性随着近端螺丝孔的增加而增加.
- 延伸器结构平均距离背皮质2mm,这距离不受前臂压缩的影响.
结论:
- 这项研究是首次评估近距离VLP螺杆孔透造成延伸器结构损伤的解剖风险.
- 靠近的VLP螺丝没有穿透延伸;然而,过度穿透可能会刺激第一个背部的肌肉腹部.
- 靠近的VLP螺丝不需要缩小,如果它们的突出不超过2mm从背皮质.
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