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单柱和双柱有限手腕间融合:SLAC或SNAC手腕的解决方案
Lars Solgård1, Robert Gvozdenovic1,2
1Department of Hand Surgery, Herlev/Gentofte University Hospital of Copenhagen, Hellerup, Denmark.
Journal of wrist surgery
|January 24, 2024
概括
限定的手腕间融合,使用一或两列技术,提供了一个有希望的替代传统的四角融合手腕崩. 这种方法表明高工会率和疼痛和功能显著改善,握力影响最小.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕手术手术手术
- 关节切除技术 关节切除技术
背景情况:
- 有限的手掌间融合 (一或两列) 是四角融合的替代方案.
- 旨在减少骨移植的需求,提高融合率.
- 解决了诸如甲状腺高级崩和甲状腺非结合高级崩等情况.
研究的目的:
- 评估一列和两列有限的手腕间融合的疗效.
- 评估结合率,减轻疼痛,运动范围,握力和功能结果.
- 将结果与传统的融合方法进行比较.
主要方法:
- 45名患者的前性队列研究 (2014-2020年).
- 33个经历了双列融合,12个经历了单列融合.
- 随访包括成像 (CT/X射线),疼痛评分 (VAS),ROM,握力和QuickDASH.
主要成果:
- 高工会率 (95%) 在平均9.5周内实现.
- 显著减少疼痛 (VAS 60.3 至 16.7) 和改善快速DASH (39.5 至 11).
- 握力显示最小的变化;手术后的ROM平均为62°/37°.
结论:
- 一个和两个列的有限的手掌间融合提供了显著的短期到中期改善疼痛和功能.
- 在没有完全的手腕融合的情况下,实现高结合率,并有可接受的并发症.
- 代表了特定的手腕崩条件的可行的替代方案.
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