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膝盖骨骨不稳定性第二部分 (骨骨手术稳定骨骨手术):最新技术

Betina B Hinckel¹, Michael Liebensteiner², Justin T Smith³

¹Department of Orthopaedic Surgery, Corewell Health William Beaumont University Hospital, Assistant Professor, Oakland University, Rochester, MI, USA.

Journal of ISAKOS : joint disorders & orthopaedic sports medicine

|October 23, 2024

概括

脊椎关节不稳定的手术可能涉及软组织手术或骨手术以纠正解剖风险因素 (ARF). 结合手术为具有显著ARF的患者提供了更好的结果,降低了复发风险.

科学领域:

整形外科手术整形外科手术
运动医学运动医学
生物机械工程生物机械工程

背景情况:

骨部不稳定,经常呈现为反复出现的骨位,需要进行手术考虑.
复发的危险因素包括人口统计学和解剖学因素,如三角膜发育不良和大腿骨.
在具有显著解剖风险因素 (ARFs) 的患者中,孤立的软组织程序可能会失败.

研究的目的:

为了评估结合骨干手术的风险-益处,与软组织稳定一起用于骨骨不稳定.
为指导多种或严重的解剖风险因素患者的手术决策.
强调患者特定的方法来管理状骨的不稳定.

主要方法:

对关节骨不稳定的手术考虑的审查.
讨论风险因素,包括人口和解剖风险因素 (ARF).
软组织手术对结合骨和软组织手术的结果分析.

主要成果:

对许多患者来说,软组织手术可以取得成功.
患有过度或多重ARF的患者在隔离软组织手术中失败率高.
对于这些患者,建议对特定的ARF进行相关的手术纠正,例如骨切除术和三角质整形术.

结论:

针对患者的具体方法对于管理骨骨的不稳定性至关重要.
将纠正性骨切除术和三角质整形术与软组织手术相结合,可以改善高风险患者的治疗结果.
与患者和家人共享决策对于最佳护理和管理手术风险至关重要.

关键词:

侧面面皮位移的情况恶性扭曲是一种恶性扭曲.部结核骨切除术 (tibial tuberosity osteotomy) 是一个切除术,用于切除部结核骨.管整形手术 (Trochleoplasty) 是一个整形手术.

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