在皮肤间的远距离扣带纠正中,解剖结构处于危险之中
Shrey Nihalani1, Mila Scheinberg1, Matthew McCrosson1
1University of Alabama at Birmingham, Department of Orthopedics, Birmingham, Alabama.
Foot & ankle specialist
|June 4, 2024
概括
通过皮肤进行的远端骨切除术可损伤侧背皮皮神经 (LDCN). 对解剖学的仔细考虑对于这种微创手术方法至关重要.
科学领域:
- 整形外科手术 整形外科手术
- 人体解剖学 解剖学 解剖学
- 最少侵入性手术的方法
背景情况:
- 扣带形影响近25%的人口,需要各种正技术.
- 穿皮骨切除术是一种新兴的 bunionette 纠正趋势.
- 解剖学的考虑对于不同的骨切割部位至关重要.
研究的目的:
- 通过使用香农来评估皮肤间远端骨切除术时面临的风险的解剖结构.
- 在手术过程中评估关键神经和肌的潜在损伤.
主要方法:
- 这项研究使用了11个新鲜尸体标本.
- 香农被用于第五足骨架的远端骨切除术.
- 进行了剖析,以确定和测量与侧背皮神经 (LDCN),引神经 (ADM) 和延伸神经 (EDL) 的距离.
主要成果:
- 骨切除部位平均距离EDL和ADM超过8毫米.
- 从骨切除部位到LDCN的平均距离为1.64毫米.
- 在尸体研究期间,在2个实例中,与LDCN进行了联系并切断.
结论:
- 通过皮肤进行远端骨切除术,以治疗头形变形,具有解剖学上的挑战,特别是对于LDCN.
- 最少侵入性的方法需要仔细的解剖评估和谨慎的技术,因为潜在的神经损伤.
- 在LDCN解剖学的变化可能会增加手术风险.
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