在创伤性肘部不稳定性管理中的腰腰交叉钉
Nick Brule1, Yagiz Ozdag1, Jessica L Koshinski1
1Division of Hand and Upper-Extremity Surgery, Department of Orthopaedic Surgery, Geisinger Commonwealth School of Medicine, Geisinger MSKI, Scranton, PA.
The Journal of hand surgery
|July 13, 2024
概括
腰骨交叉钉 (UCP) 有效地稳定持续或反复出现的肘部不稳定性,保持关节对齐和运动范围. 虽然可能会出现并发症,特别是在修改的情况下,UCP是复杂的肘部不稳定性的可行选择.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科手术是什么
背景情况:
- 创伤性肘部不稳定性带来了挑战,通常需要额外的稳定,除了骨折固定和带修复之外.
- 持续的手术内或复发的术后不稳定性需要先进的稳定技术.
- 椎椎交叉钉 (UCP) 是一种静态补充稳定方法,之前的研究有限.
研究的目的:
- 评估与腰骨交叉钉 (UCP) 相关的并发症和结果,以评估创伤性肘部不稳定性.
- 评估UCP在管理持续的手术内和复发的手术后肘部不稳定性的有效性.
主要方法:
- 对14名因创伤肘部不稳定性而接受初级或修订性UCP的患者的回顾性审查 (2017-2023年).
- 基线人口统计,放射图,运动范围 (ROM),患者报告的结果 (VAS,QuickDASH,SANE) 和手术并发症的分析.
- 研究证据水平:治疗IV.
主要成果:
- 平均随访时间为27个月;36%的UCP程序是修订案例.
- 患者的平均ROM弧度为114° (flexion-extension) 和140° (pronation-supination),其中85%达到至少100°.
- 五名患者 (36%) 经历了需要重新手术的并发症,其中包括两个术后不稳定的病例.
- 患者报告的平均得分为:VAS 2.4 ,QuickDASH 34 ,SANE 69 .
结论:
- 腰关节交叉钉 (UCP) 维持腰关节对齐和功能肘部ROM在患有持续或反复不稳定的患者.
- UCP产生了可接受的患者报告结果,特别是在手术内不稳定的初级手术中.
- 在复杂的肘部不稳定的情况下,腰腰交叉钉是合理的补充稳定选择.
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