延伸肌修复 延伸肌修复
Varun Arvind1, Daniel Y Hong1, Robert J Strauch1
1Columbia University Medical Center, New York, NY.
JBJS essential surgical techniques
|October 23, 2024
概括
手术医生可以使用特定区域的修复技术有效地治疗延伸肌损伤. 及时修复和量身定制的康复,如静态,导致患者的良好功能结果.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 创伤学 创伤学 创伤学
背景情况:
- 延伸肌损伤很常见,需要立即进行手术.
- 诊断依赖于体检,包括肌效应,以评估肌连续性.
- 伤害被分为九个不同的区域,指导治疗策略.
研究的目的:
- 概述延伸肌损伤的特定区域的外科手术技术.
- 讨论替代修复方法和非操作性管理选项.
- 为了强调肌厚度在选择合适的 sutures的重要性.
主要方法:
- 技术根据受伤区域和肌厚度而异.
- 区域I和II的伤害可能使用"数字8"或运行.
- 区域III-VII通常涉及核心接,并补充了运行接.
主要成果:
- 运行互锁水平床 (RIHM) 技术更快,并产生更硬的修复.
- 在区域IV和V的RIHM中报告了良好的到优秀的临床结果.
- 急性延伸肌修复显示出良好的长期结果,曲缺陷比延伸损失更常见.
结论:
- 技术应根据肌的厚度量身定制,并适用于所有区域的运行.
- 核心是最有效的在区域III-VII.
- 动态康复可能不会比延伸肌损伤的静态 splinting 提供更好的长期益处.
相关概念视频
Long-patch Base Excision Repair
Since the discovery of the two BER pathways, there has been a debate about how a cell chooses one pathway over the other and the factors determining this selection. Numerous in vitro experiments have pointed out multiple determinants for the sub-pathway selection. These are:
Elastin is Responsible for Tissue Elasticity
Elastic fiber contains the protein elastin along with lesser amounts of other proteins and glycoproteins. The main property of elastin is that it will return to its original shape after being stretched or compressed. Elastic fibers are prominent in elastic tissues found in skin and the elastic ligaments of the vertebral column.
Ligaments and tendons are made of dense regular connective tissue, but in ligaments not all fibers are parallel. Dense regular elastic tissue contains elastin fibers and...
Ligaments and tendons are made of dense regular connective tissue, but in ligaments not all fibers are parallel. Dense regular elastic tissue contains elastin fibers and...
Renewal of Skin Epidermal Stem Cells
The skin is divided into epidermis, dermis, and hypodermis, the skin's outermost, middle, and inner layers. The human epidermal layer regularly undergoes renewal, where old, dead cells are replaced by new cells. Epidermal stem cells or EpiSCs divide and differentiate to restore the lost cells. For the renewal process, some EpiSCs continuously self-renew. In contrast, few others differentiate into transit-amplifying cells, which later form prickle or spinous cells, followed by granular cells,...
Reticular Dermis
The papillary and reticular dermis are the two layers of the dermis. They are made of connective tissue with fibers of collagen extending from one to the other, making the border between the two somewhat indistinct. The dermal papillae extending into the epidermis belong to the papillary layer, whereas the dense collagen fiber bundles below belong to the reticular layer.
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...
Reticular Layer
Underlying the papillary layer is the much thicker reticular layer, composed of dense, irregular connective...
Healing I: Introduction
Healing is the physiological process by which the body restores the integrity and function of damaged tissues following injury. It involves a coordinated interplay of cellular proliferation, extracellular matrix remodeling, and growth factor signaling. The extent and nature of the tissue damage determine whether healing occurs by resolution, regeneration, or replacement.ResolutionResolution represents the most complete form of healing, occurring when the injury is minimal and tissue...
Healing II: Complications
Complications during healing arise when tissue repair is altered by local or systemic factors. These changes involve abnormal collagen deposition, altered biomechanics, and reduced vascular supply, impairing restoration of normal structure and function.Loss of FunctionScar tissue differs significantly from the original tissue it replaces. In the skin, fibrosis lacks adnexal structures such as hair follicles, sebaceous glands, and sweat glands. Their absence reduces tactile sensitivity, impairs...


