简单的急性后侧肘部脱位:一个历史的视角.
Daphné Jauffrit1, Paul Heraudet1, Meagan Tibbo2
1Department of orthopedic surgery, Hôpital Pellegrin, Bordeaux 31600 France.
Injury
|January 24, 2024
概括
后侧肘部位 (PLED) 管理已经发展,手术和保守治疗都提供了良好的结果. 然而,持续的疼痛和不稳定仍然是挑战,需要进一步研究手术稳定指示.
科学领域:
- 整形外科手术 整形外科手术
- 生物力学 生物力学
- 肘部创伤 肘部创伤 肘部创伤
背景情况:
- 后侧肘部位 (PLED) 是一种复杂的损伤.
- 了解它的生物力学,放射特征和临床表现已经有了显著的进化.
- 历史知识和数据塑造了当前的管理策略.
研究的目的:
- 为了回顾前后侧肘脱位 (PLED) 模式的历史演变.
- 总结与PLED相关的生物机械,放射和临床数据.
- 为了提高临床医生对PLED管理的理解.
主要方法:
- 使用欧维德,斯科普斯和科克兰图书馆进行了全面的文献搜索.
- 医疗学科标题词汇被用于关键词的识别.
- 对1920年至2022年的相关文献进行了按时间顺序的审查.
主要成果:
- 导致PLED的后侧旋转不稳定性 (PLRI) 首次在1966年被描述.
- 随着时间的推移,PLED的多种理论和治疗方案已经开发出来.
- 无论是保守的还是手术的PLED治疗都产生了良好的功能结果,但疼痛和硬等长期问题仍然存在.
结论:
- 尽管有生物机械证据,但对于PLED的外科指标没有共识.
- 虽然治疗提供了令人满意的结果,但残留的疼痛和不稳定性可能会影响患者的功能.
- 未来的研究应该专注于确定那些可以从PLED手术稳定中受益的患者.
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