在关节镜旋转手套修复中通过控制紧张进行功能性改善
1Department of Orthopaedic Surgery, University Hospital, Shiga University of Medical Science, Shiga, Japan.
JB & JS open access
|January 24, 2025
概括
固定,在桥旋转手套修复中的低张力改善了早期临床结果和肌愈合率. 然而,低压和高压组之间的长期临床结果相似,低压显示出较低的复发率.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 运动医学运动医学
背景情况:
- 桥旋转手套修复需要足够的张力才能愈合.
- 过度的紧张可能会对肌愈合产生负面影响.
- 在旋转手腕修复中,桥接的最佳张力还没有得到很好的定义.
研究的目的:
- 为了研究桥接紧张对临床结果和关节镜接桥旋转手套修复后肌愈合的影响.
- 为了比较固定,低张力 (20N) 与桥接的最大手动张力 (平均36.1N).
- 假设较低,固定张力会增强肌愈合和临床结果.
主要方法:
- 39名患者接受了20N固定张力 (A组) 的关节镜桥修复.
- 37名患者通过最大的手动紧张 (B组) 进行了修复.
- 临床结果 (VAS,恒定分数,运动范围) 和MRI评估的愈合在多次术后间隔进行了比较.
主要成果:
- 两组在6个月后都出现了改善,A组显著改善了恒定得分,VAS疼痛和前部升高.
- 2年后,没有观察到两组之间的显著临床差异.
- 与B组 (24.3%) 相比,A组的留学率明显较低 (7.7%).
结论:
- 固定,低张力双排桥修复产生优越的短期临床结果和更好的肌愈合率.
- 虽然早期的好处是显而易见的,但临床结果在手术后的2年内趋同.
- 较低的紧张度与旋转手腕修复中复发风险降低有关.
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