在新生儿臂麻中进行前臂和肘部二次手术手术:一个系统的范围审查
Amanda Azer1, Aedan Hanna1, Dhvani Shihora1
1Department of Orthopaedic Surgery, Rutgers New Jersey Medical School, Newark, NJ, USA.
JSES reviews, reports, and techniques
|February 7, 2024
概括
新生儿臂麻手术改善了前臂和肘部的功能. 软组织手术提供一致的结果,而骨手术对儿科患者的结果各不相同.
科学领域:
- 儿科整形外科 儿科整形外科
- 神经外科 神经外科
- 康复医学 康复医学 康复医学
背景情况:
- 新生儿臂麻 (NBPP) 是由于与出生有关的神经损伤造成的,影响运动功能.
- 二次手术解决了儿科NBPP患者前臂和肘部的限制.
- 本综述侧重于手臂和肘部功能恢复的手术干预.
研究的目的:
- 在儿科NBPP中审查前臂和肘部二次重建的外科手术程序.
- 评估各种手术技术的结果,以改善功能.
主要方法:
- 在主要数据库 (PubMed,Cochrane等) 进行了全面的文献搜索. ) 的情况.
- 在选了865个摘要和标题后,包括了18项研究.
- 这次范围审查的证据水平是IV级.
主要成果:
- 确定了10项主要手术,重点是俯卧合和肘部曲.
- 软组织手术显著改善了主动肘部曲和俯卧.
- 像骨切除术这样的骨手术显示出显著的改善,但结果范围更广.
结论:
- 所有审查的程序都成功实现了预期的目标.
- 软组织手术表现出比骨手术更大的一致性和可重复性.
- 需要进一步的研究来澄清每个手术方法的指示和长期益处.
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