完整四肢肌的初级修复与延伸机制缺陷的肌破裂
Tyler J Thorne1, Willie Dong1, Thomas F Higgins1
1Department of Orthopaedics, University of Utah, Salt Lake City, Utah.
JBJS essential surgical techniques
|September 24, 2024
概括
完整的四头肌破裂需要手术以获得最佳结果. 透骨道和接 anchor 技术都提供了很好的结果,大多数患者恢复了受伤前的功能.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 肌肉骨的重建 肌肉骨的重建
背景情况:
- 完全四头肌肌破裂需要手术修复以恢复功能.
- 如果延伸器机制保持完整,可以在非手术情况下处理部分破裂.
- 关键的手术目标包括重建延伸器机制,以实现最佳的腿部运动.
研究的目的:
- 描述和比较四头肌肌破裂的主要手术修复技术.
- 突出穿骨道与线 anchor方法的有效性和结果.
- 提供有关手术考虑和潜在并发症的指导.
主要方法:
- 手术修复包括中线膝盖切口,以暴露四头肌肌缺陷.
- 技术包括透骨道 (通过骨道使用不可吸收的) 和接 (使用无结的纤维带).
- 这两种方法都涉及脱bridement,肌修复与特定的模式 (例如,Krackow),并解决同时发生的视网膜撕裂.
主要成果:
- 初级修复产生了很好的结果,几乎完全恢复了运动范围 (<5°赤字).
- 超过90%的患者恢复到受伤前的功能和工作水平.
- 常见的并发症包括硬度和肌肉缩,可以通过康复治疗来控制;严重的并发症很少见 (<3%).
结论:
- 四头肌破裂的手术修复,使用横骨道或接,导致了很好的功能恢复.
- 早期的手术干预对于最小化风险和最大化结果至关重要.
- 虽然这两种技术都是有效的,但接可以在操作时间和切口大小方面提供优势,尽管成本更高.
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