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一个自行设计的Endobutton安装装置,用于在急性Rockwood III型Acromioclavicular关节脱位中进行心脏关节稳定

Ma Jie¹, Tang Yang¹, Wang Xiang¹

¹Shanghai Key Laboratory of Orthopaedic Implants, Department of Orthopaedic Surgery, Shanghai Ninth People's Hospital, Shanghai JiaoTong University School of Medicine, Shanghai, China.

Orthopaedic surgery

|January 17, 2024

概括

一种新的Endobutton安装装置简化了关节关节脱位的心脏关节稳定. 这种技术可以减少手术时间和血液流失,而不会影响临床结果.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
手术创新在外科创新.

背景情况:

脊椎关节 (ACJ) 脱位,特别是洛克伍德型III,需要稳定的固定.
恩多巴顿技术提供灵活的心脏关节 (CC) 稳定,但在心脏关节底部放置方面存在挑战.
需要改进的外科工具来提高ACJ脱位修复的有效性和安全性.

研究的目的:

设计和评估一个Endobutton安装装置,以准确地放置 coracoid 基部.
为了比较使用新型设备与传统技术的ACJ脱位修复的临床和放射性结果.
评估设备对手术时间,血液损失和并发症的影响.

主要方法:

对42名急性Rockwood III型ACJ脱位患者的回顾性审查.
第一组 (n=19) 使用了新的Endobutton安装装置;第二组 (n=23) 使用了传统技术.
操作时间的比较,手术内流血,临床分数 (VAS,OSS,DASH) 和放射性CC距离.

主要成果:

与II组 (p<0.01) 相比,I组的手术时间 (56.05分 vs 65.87分) 显著缩短,流血量减少 (67.89分 vs 94.78毫升).
在最后的随访中,在疼痛得分,功能结果或CC距离方面没有观察到两组之间的显著差异.
在4名患者 (I组) 和3名患者 (II组) 中发生了减少的损失,在任何一组中都没有其他重大并发症.

结论:

结节按安装装置有助于更容易,更准确地将结节按安装在心肌底部.
这种新型设备在急性Rockwood III型ACJ脱位方面取得了令人满意的临床和放射性结果.
使用安装装置不会带来额外的并发症,为ACJ稳定提供了一个安全的替代方案.

关键词:

一个叫做Acromioclavicular的关节.核心关节带核心关节带失调的失调是一种失调的现象.在 Endobutton 中使用.稳定化稳定化稳定化

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