用干扰螺丝和额外的张力滑板进行内镜 flexor 幻觉长转移 皮质按 慢性阿基里斯肌破裂
Ayla Claire Newton1, Samuel Franklin1, Thomas Lorchan Lewis1
1King's Foot and Ankle Unit, King's College Hospital NHS Foundation Trust, London, UK.
Foot & ankle orthopaedics
|April 2, 2025
概括
这项研究表明,用于慢性阿基里斯肌破裂 (ATR) 的内镜柔长 (FHL) 肌移植是安全有效的. 患者在手术后经历了功能,疼痛和生活质量的显著改善.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 重建性手术是一种重建性手术.
背景情况:
- 内镜柔幻觉长 (FHL) 肌移植是一种可行的选择,用于管理阿基里斯肌破裂 (ATR),包括运动员.
- 尸体研究表明,通过使用干扰螺丝和皮质按的修改后的FHL传输技术,增强了负载能力.
研究的目的:
- 通过修改的技术评估慢性ATR的内镜FHL移动后患者报告的功能结果.
- 评估这种手术修饰的安全性和有效性.
主要方法:
- 对17名患者进行了回顾性审查,他们接受了慢性ATR的内镜FHL转移.
- 对成像,病史,PROMs (MOxFQ,EQ-5D,VAS-Pain) 和并发症的评估.
- 平均随访时间为1.5年.
主要成果:
- 所有17名患者在术后的MOxFQ,EQ-5D和VAS-Pain得分都显示出统计学上显著的改善.
- 从受伤到手术的平均时间是33周.
- 一名患者 (5.9%) 出现了症状的小腿神经炎.
结论:
- 用皮质按和干扰螺丝增强的内镜FHL移动是慢性ATR的一种安全有效的治疗方法.
- 该程序导致患者报告结果的显著改善,包括生活质量和疼痛减轻.
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