早期的结果是完全替换远距离放射突关节的结果
Mark P Smith1, William B Kleinman2, Nicholas E Crosby2
1Department of Orthopaedic Surgery, Indiana University, Indianapolis, USA.
概括
远距离放射关节 (DRUJ) 关节整形改善了患者的疼痛和运动范围. 然而,观察到的并发症率为22%,包括硬件突出,需要进一步研究.
科学领域:
- 整形外科手术 整形外科手术
- 手和上肢手术手术手术
- 生物材料和医疗器械
背景情况:
- 远距离放射关节 (DRUJ) 病理,包括不稳定性和关节炎,对外科医生构成重大挑战.
- 传统的外科手术,如Darrach手术和软组织关节塑造手术,都有其局限性.
- 2005年DRUJ关节整形假肢的出现提供了新的治疗途径.
研究的目的:
- 评估DRUJ关节整形术在改善疼痛和运动范围 (ROM) 的有效性.
- 评估与DRUJ关节整形相关的并发症率.
- 在临床环境中确定DRUJ关节整形术的长期结果.
主要方法:
- 一个单一的手术组对46名接受DRUJ关节整形手术的患者进行了回顾性审查.
- 对患者人口统计,并发症和术后结果的分析.
- 视觉模拟尺度 (VAS) 疼痛评分和ROM测量 (置,延伸) 的评估.
主要成果:
- 平均60周的随访显示,疼痛显著改善 (VAS从7.1降至2.3) 和ROM (17°俯卧,5°延伸).
- 22%的患者出现并发症,15%需要修复手术,最常见的是由于突出的硬件.
- 没有患者需要转换到其他类型的植入物,即使在修复手术后.
结论:
- 在患有DRUJ病理的患者中,DRUJ关节整形术有效减少疼痛并增强ROM.
- 这种手术与显著的22%的并发症率有关,需要仔细选择患者和手术技术.
- 进一步的长期调查是有必要的,以充分了解DRUJ关节整形术的耐用性和潜在并发症.
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