[修改的关节最大转移用于关节绑架器缺陷]
Alexander Zimmerer1,2, Lars Nonnemacher3, Maximilian Fischer3
1Klinik und Poliklinik für Orthopädie und Orthopädische Chirurgie, Universitätsmedizin Greifswald, Ferdinand-Sauerbruch-Str., 17475, Greifswald, Deutschland. alexander.zimmerer@gmail.com.
Operative Orthopadie und Traumatologie
|August 22, 2024
概括
关节最大移动手术有效地治疗吸收器缺陷,改善部功能和步态. 这种手术为患有显著部肌肉退化症的患者提供了可行的解决方案.
科学领域:
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
- 部的生物力学
背景情况:
- 绑架器缺陷显著损害部功能和步态.
- 严重的肌缩和脂肪退化 (>50%) 构成了外科手术挑战.
研究的目的:
- 评估关节最大转移与大三角管再固定在治疗吸收器缺陷时的疗效.
主要方法:
- 一个 gluteus maximus 肌肉被手术转移并重新固定到大三叉骨上.
- 该技术涉及详细的切口,片的升高,并使用和螺丝固定.
- 张伸筋肌也可能被纳入重建.
主要成果:
- 关节最大移动技术在短期随访中改善了绑架功能和步态模式.
- 15名患者在修改后的哈里斯关节评分 (mHHS) 中从48到60有所改善.
- 积极的Trendelenburg标志从手术前的100%下降到随访时的约50%.
结论:
- 关节最大移动是一种有效的手术选择,用于慢性绑架器缺陷.
- 该程序在改善关节功能和减少步行异常方面显示出积极的结果.
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