在一个岩石登者中,在严重伤后,近接法兰克斯 flexor 肌的化
1Hand Surgery Department, Universitätsklinik Balgrist, Forchstrasse 340, CH-8008 Zürich, Switzerland.
Hand surgery & rehabilitation
|March 23, 2024
概括
严重的手伤需要截肢和专门手术. 形手术显著改善了运动范围和握力,使登者能够恢复到高级登和使用假肢.
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
- 运动医学 运动医学
背景情况:
- 第四级手部伤损伤可能导致显著的功能损失.
- 截肢给恢复手部功能带来了挑战,特别是在登等高需求的活动中.
研究的目的:
- 描述了一种手术技术,用于改善严重手部伤和截肢后的甲手腕关节功能.
- 为了评估一个伤手的登山者在十度手术的功能结果.
主要方法:
- 在数字截肢术后,对靠近的手环进行了flexor digitalis superficialis和profundus肌的切术.
- 手术修订包括骨的去除,皮肤片和网络空间的深化.
- 2年后,评估了功能性结果,包括关节运动范围和握力.
主要成果:
- 达到了10-0-100°元手臂关节的运动范围 (延伸-曲).
- 证明了增强的握力 (50公斤在2厘米的握力上) 和在1厘米的握力上进行体重拉起的能力.
- 患者可以爬上F7a路线,并使用4指的功能假肢.
结论:
- 形手术可以有效地恢复严重的伤和截肢后的甲手腕关节的显著功能.
- 描述的手术方法有助于恢复高层登和功能性假肢使用.
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