周围流离失所:减少和稳定
William Newton1, Dane Daley1, Charles Daly1
1Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, South Carolina.
JBJS essential surgical techniques
|February 15, 2024
概括
这项研究详细介绍了一种全背甲状腺重建技术,用于稳定可减轻的手腕损伤中没有关节炎的甲状腺和月经状腺. 它旨在恢复手腕的稳定性,同时保持运动,尽管结果包括运动范围和力量的减少.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 肌肉骨研究 研究
背景情况:
- 全背脊甲状腺重建技术适用于甲状腺损伤,当骨可缩小且缺少关节炎时.
- 首要目标是重建背脊脚带,以稳定脚和月.
研究的目的:
- 描述全背脊甲骨架的重建技术,用于治疗甲骨架损伤.
- 与救援程序相比,强调保护本地手腕运动的好处.
主要方法:
- 使用背部手腕方法,涉及延伸器的转移,延伸器长和延伸器隔间的收缩.
- 一个贝格尔带节约囊切除术和延长开放的手腕道释放进行可视化和减少.
- 操纵杆钉用于减小,用带固定脚骨和月经,用4个钉固定后. 基尔施纳电线 (K-电线) 用于手腕间固定.
主要成果:
- 结果各不相同,手腕运动范围的普遍下降 (55%-75%的逆侧) 和握力 (约. 65%) 的情况.
- 50%-60%的劳动者可以恢复全职工作. 手臂,肩膀和手的残疾 (DASH) 平均得分为24-30.
- 导致不良结果的危险因素包括治疗延迟,不良对齐和开放性伤害.
结论:
- 全背部技术提供了脚的稳定,保持了手腕的运动,这在关节炎发生之前是有利的.
- 应向患者咨询潜在的永久性硬性和残留scapholunate扩散的可能性.
- 手术后的固定保持到3个月后取下针头.
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