双流动性梯形甲手腕假肢:对当前文献的综述
Eleonora Villari1, Laura Langone1, Federico Pilla1
11st Orthopaedic, Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via G.B. Pupilli, 1, 40136, Bologna, Italy.
Hand surgery & rehabilitation
|February 19, 2025
概括
双移动性全关节整形术为形甲腕关节炎提供了良好的功能结果,改善了运动范围和力量,减少了位. 这种手术选择适用于晚期关节退行症和中度功能需求的患者.
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
- 康复医学 康复医学 康复医学
背景情况:
- 第一个手腕关节骨关节炎是普遍存在的,特别是在绝经后的妇女.
- 症状性疾病影响到总人口的6%.
- 整体假肢置换是一种新兴的治疗选择,用于形甲手关节骨关节炎.
研究的目的:
- 审查双流动性全关节整形术对形甲手臂关节骨关节炎的结果.
- 提供关于这种外科手术技术的全面更新.
主要方法:
- 使用PubMed,谷歌学者和MEDLINE进行了系统的文献搜索.
- 包括10项涉及931名患者的研究和2个假肢模型 (Moovis和Touch).
- 使用非随机研究方法指数 (MINORS) 评估了偏差风险.
主要成果:
- 观察到2.7%的低植入失败率 (931人中有25人) 需要修复手术.
- 关于运动范围,握力和按键强度的积极功能结果.
- 与标准手术相比,双流动性关节整形手术显示出较低的脱位率.
结论:
- 双移动性全关节整形术为形甲腕关节骨关节炎提供了有利的功能结果.
- 它增强了运动范围,并加快了和握力的恢复.
- 这种技术对于患有晚期关节炎和中度功能需求的患者来说是一个可行的选择.
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