一个双中心的经验与一个锁定内指甲为手腕融合
John J Heifner1, Robert J Rowland2, Osmanny Gomez2
1Miami Orthopaedic Research Foundation, Miami, Florida.
Journal of wrist surgery
|December 2, 2024
概括
使用锁定内髓指甲的手腕整体融合显示出良好的结果,而不会影响第三个手腕甲手腕关节. 这种方法提供了令人满意的功能和手腕关节术的低修订率.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕手术手术手术
- 生物医学工程 生物医学工程
背景情况:
- 完全合手腕 (TWF) 与锁定内指甲 (IM) 的不同疗效需要进一步研究.
- 第三 carpometacarpal关节 (CMCJ) 准备对诸如远端螺丝松动等并发症的影响尚不清楚.
研究的目的:
- 报告用锁定IM指甲进行手腕关节切除的临床结果.
- 调查是否保留本土的第三个CMCJ关节会影响短期并发症率.
主要方法:
- 在两个机构中使用IMPLATE锁定钉 (2010-2022) 的TWF案件的回顾性图表审查.
- 收集和分析临床和放射性结果.
主要成果:
- 在93.8%的病例中实现了放射性结合.
- 平均患者指定的手腕评估得分为30.4;平均休息和活动期间的疼痛得分分别为1.7和3.2.
- 报告了7例远端螺丝松动 (21.8%) 和3次修复手术 (9.4%).
结论:
- 在不包括CMCJ的情况下锁定IM指甲TWF显示了令人满意的功能和低的修订率.
- 距离螺丝松动呈现变化;门诊螺丝拆除是症状病例的当前做法.
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