在远距离半径断裂的伏拉锁板后, flexor pollicis长断裂的风险持续了十多年.
Panu H Nordback1,2, Ellen Y Lee1, Jin Xi Lim1
1Department of Hand and Reconstructive Microsurgery, National University Hospital, Singapore.
The archives of bone and joint surgery
|December 25, 2024
概括
具有Soong等级2的较旧的飞锁板 (VLP) 增加了长期风险,在远半径骨折 (DRF) 固定后, flexor pollicis longus (FPL) 肌破裂. 用长手掌 (PL) 接种器进行重建,结果相当好.
科学领域:
- 整形外科手术 整形外科手术
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
- 创伤外科手术是什么
背景情况:
- 伏拉锁板 (VLP) 固定是偏距半径骨折 (DRF) 的标准.
- 摩擦屈曲肌破裂是一种已知的,尽管很少见的,VLP固定的并发症.
- 没有确立的共识,可以防止这种并发症.
研究的目的:
- 为了调查长期风险的曲肌破裂后VLP固定的DRFs.
- 为了描述曲肌破裂重建的结果.
主要方法:
- 回顾性单中心综述 (2016-2021) 患有VLP固定后曲肌破裂的患者.
- 收集的数据包括患者人口统计,DRF细节 (AO分类,Soong分级) 和肌重建方法.
- 通过使用指间关节 (IPJ) 运动和卡潘吉分数来评估结果.
主要成果:
- 五名患者经历了折 flexor pollicis longus (FPL) 的磨损性破裂.
- 从VLP固定到破裂的中位时间为7年 (范围:3-14年).
- 用手掌长 (PL) 肌移植重建了四个破裂,达到48度的IPJ运动中位数和9/10的Kapandji分数.
结论:
- 较旧的VLP设计,特别是具有Soong等级2的VLP设计,存在持续的磨损性FPL破裂风险.
- 棕长肌移植是一种有效的方法来重建FPL破裂,产生令人满意的功能结果.
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