肌延长手术对肘部曲收缩在手臂出生麻
Javier Gutierrez-Pereira1, Antonio Garcia-Lopez1
1Department of Orthopaedic Surgery, Hospital General Universitario de Alicante, Spanish National Reference Center for Brachial Plexus Surgery, Alicante, Spain.
The Journal of hand surgery
|October 1, 2024
概括
使用手腕肌和双臂肌肌肉的部分切割术的手术释放有效地治疗手腕患者严重的肘部曲收缩症. 这种手术在没有重大并发症的情况下,在肘部延伸方面提供了显著的,持续的收益.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 臂损伤管理 臂损伤管理
背景情况:
- 肘部曲收缩是手臂出生的常见并发症.
- 严重的收缩通常需要手术干预,而不仅仅是保守的整形管理.
研究的目的:
- 为了评估手术肘部释放的疗效,在腕发育麻中超过30°的收缩.
- 该研究的重点是手臂肌和双臂肌肌肉的部分切断,并进行了拉塞托斯纤维化的分裂.
主要方法:
- 在36名患有C5-C6臂损伤和30°-80°曲收缩的患者进行前肘释放.
- 程序包括拉塞托斯纤维切割和部分手臂肌延长;在严重的情况下使用双肩切割术.
- 最少12个月的随访,手术前的肘部曲强度等级为4+,没有关节变形.
主要成果:
- 在41个月的平均随访后,获得了31°的平均肘部延伸增长.
- 所有患者都保持了曲强度,并且延伸的增长持续.
- 没有报告重大或轻微的并发症或重新干预.
结论:
- 腕和双臂臂肌肉的部分切割,结合拉塞尔纤维切割,对于肘部收缩>30°是有效的.
- 在功能三肌和足够的手术前延伸强度的患者中观察到成功的结局.
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