在退伍军人事务人口中手腕救援和融合结果
Edward Lawson1, Trey Cinclair2, Shelby Lies2
1Department of Plastic Surgery, Loma Linda University School of Medicine, Loma Linda, California.
Journal of wrist surgery
|March 28, 2025
概括
部分手腕融合为手腕关节炎提供最佳结果,保持运动范围,同时改善疼痛. 这项研究比较了退伍军人的近端排骨切除,四角融合和手腕整体融合,以及先进的缩/无结合先进的缩.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕手术手术手术
- 肌肉骨研究 研究
背景情况:
- 手腕骨关节炎 (OA) 是老年人普遍存在的疾病,通常导致显著的功能障碍.
- 脚突发性高级崩 (SLAC) 和脚突发性非联合性高级崩 (SNAC) 是创伤后手腕关节炎的常见病因.
- 有效的手术管理对于改善受影响个体的生活质量至关重要.
研究的目的:
- 评估和比较不同手术干预后创伤性手腕关节炎由SLAC/SNAC引起的不同手术的结果.
- 在退伍军人群中评估手腕救援和融合手术的疗效.
- 确定最优的手术方法来维持运动范围和控制疼痛.
主要方法:
- 在退伍军人事务医院对手腕关节炎患者进行了12年的回顾性审查.
- 分析包括患者人口统计学,SNAC/SLAC等级和初级手术程序 (近位排骨切除,四角融合,手腕整体融合).
- 评估结果:术后的关节疾病,撞击,硬件故障,运动范围 (ROM),持续的疼痛,复发性关节炎和重新手术率.
主要成果:
- 临近排骨切除显示36.8%的持续疼痛和29%的不良ROM.
- 与全腕融合相比,四角融合的硬件故障率 (22.7%) 和复发性关节炎 (27.3%) 较高.
- 整体手腕融合在术后没有表现出不良的ROM,但有45.5%的持续疼痛和27.3%的重新手术率.
结论:
- 部分手腕融合,如四角融合,似乎是保持手腕关节炎运动范围的最佳选择.
- 所有的手术选择都表现出不同程度的持续疼痛和重新手术的需要.
- 可能需要进一步的研究来完善手术技术和患者选择,以改善长期结果.
相关概念视频
Conservative Forces
According to the law of conservation of energy, any transition between kinetic and potential energy conserves the total energy of the system. Hence, the work done by a conservative force is completely reversible. It is path independent, which means that we can start and stop at any two points in the transition, and the total energy of the system (kinetic plus potential energy at these points) will remain conserved. This is characteristic of a conservative force. Some important examples of...
Restorative Care
Restorative care is provided once a patient has been discharged from a healthcare facility and requires additional services. The additional services include home care, rehabilitation programs, and extended care. Restorative care centers help the patient regain their previous level of functioning or acquire a new level of functioning due to the incapacitating effects of a disease or a disability. It aims to assist patients in enhancing their quality of life by encouraging independence,...
Healthcare Agencies II
There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources, and lay...
Discharge Summary Forms
The discharge summary is crucial as it enables a smooth transition from a healthcare facility to a patient's home or another care setting. This critical document facilitates seamless continuity of care, ensuring patients receive the necessary support and attention.
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Here's a detailed look at the key components and guidelines for preparing a discharge summary:
Types of Reports I: Hand-off Report
A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
Following are the key components and categories of hand-off reports:
Purpose and Process:
Following are the key components and categories of hand-off reports:
Purpose and Process:
Conservative Forces
Conservative forces are an essential concept in the field of mechanical engineering. Understanding the properties and characteristics of these forces is crucial to the design and analysis of mechanical systems.
Conservative forces are forces that are dependent only on the initial and final positions of an object and that are independent of the path that the object takes between these positions. These forces conserve energy, which means that the work done by the force is independent of the path...
Conservative forces are forces that are dependent only on the initial and final positions of an object and that are independent of the path that the object takes between these positions. These forces conserve energy, which means that the work done by the force is independent of the path...


