阿普蒂斯远距离放射突关节植入物:显著并发症的管理
Shirley D Stougie1,2, Frederique M Kemme1, J Henk Coert2
1Plastic, Reconstructive and Hand Surgery, Amsterdam UMC, Amsterdam, The Netherlands.
Journal of wrist surgery
|March 28, 2025
概括
阿普蒂斯远端放射关节 (DRUJ) 植入物在罕见的手腕疾病中显示出高并发症率. 修复手术可以减轻疼痛,但往往会导致美观不佳的结果,这表明对植入物使用有严格的指示.
科学领域:
- 整形外科手术 整形外科手术
- 生物材料工程是生物材料的工程.
- 类风湿病学 类风湿病学
背景情况:
- 阿普蒂斯远端放射关节 (DRUJ) 植入物旨在重建严重关节破坏和不稳定的患者的DRUJ.
- 有限的文献存在于管理Aptis植入物的早期并发症在罕见的条件,如类风湿性关节炎或先天性形.
研究的目的:
- 描述临床结果,严重的早期并发症和复查手术结果,用于阿普蒂斯DRUJ植入物在一个有罕见手腕疾病的队列.
- 为了评估Aptis植入物并发症的修复手术后的患者满意度和美学结果.
主要方法:
- 五个连续接受Aptis DRUJ植入物的患者的回顾性评估.
- 随访持续时间从18个月到53个月 (平均32个月).
主要成果:
- 并发症包括植入物骨整合失败 (2例),周围假肢骨折 (2例) 和急性手掌道综合征 (1例).
- 三个Aptis DRUJ关节置换术被修改为近距离的Darrach手术.
- 四名患者 (80%) 报告说,由于疼痛减轻,他们对修复手术感到满意,但四名 (80%) 认为审美外观令人失望.
结论:
- 在罕见的手腕病症中,Aptis植入物表现出显著的并发症,特别是那些骨库较差或辐射形的人.
- 建议严格遵守Aptis DRUJ植入物的指示,以保持手腕功能并最大限度地降低失效风险.
关键词:
这就是Aptis Aptis.关节质复原 关节质复原 关节质复原 关节质复原并发症可能导致并发症.出生形 遗传形 出生形 遗传形遥远的放射性突关节 遥远的放射性突关节类风湿性关节炎 类风湿性关节炎更多相关视频
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