关节镜治疗状形形:技术和病例系列的描述
Ricardo Kaempf1, João Brunelli1, Leohnard Bayer1
1Santa Casa de Misericórdia de Porto Alegre, Porto Alegre, RS, Brasil.
Revista brasileira de ortopedia
|December 9, 2024
概括
使用骨移植和螺杆固定实现了高结合率 (95.6%) 和改善了手腕功能. 这种最少的侵入性方法提供了有效的形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形
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
- 关节镜检查 (arthroscopy) 是一种关节镜检查.
背景情况:
- 形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形形
- 传统的治疗方法通常涉及开放式手术,恢复时间较长.
研究的目的:
- 为了评估关节镜辅助无骨移植和压缩螺丝固定用于骨非结合的疗效.
- 为了评估稳定和不稳定脚非结合的患者的功能,临床和放射性结果.
主要方法:
- 一系列23名患有脚非结合症的患者接受了关节镜手术,其中包括骨移植和螺丝固定.
- 术前和术后的评估包括功能性运动范围,疼痛 (视觉模拟尺度),DASH得分和放射性参数 (scapholunate和radiolunar角度).
主要成果:
- 95.6%的工会率在平均7.5周内实现.
- 在手腕运动范围 (屈曲,节/半径偏差),疼痛减轻 (VAS) 和功能性DASH评分方面发现了显著的改善.
- 放射性参数显著改善,角从69.1°降低到48.4°,射线角度从30°降低到2.6°.
结论:
- 用骨移植和螺杆固定治疗骨非结合的关节镜辅助治疗产生了有利的临床和放射性结果.
- 这种技术表现出短暂的巩固期,并促进了形形形形形形形的快速功能恢复.
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