"Scopen"的范围可以打开腿筋修复
Lakshmanan Sivasundaram1, Mario Hevesi1, Morgan W Rice1
1Section of Young Adult Hip Surgery, Division of Sports Medicine, Department of Orthopedic Surgery, Rush Medical College of Rush University, Rush University Medical Center, Chicago, Illinois, USA.
靠近腿筋损伤,虽然比远端损伤少见,但越来越多地通过手术修复来治疗. 本研究详细介绍了这些具有挑战性的伤害的联合开放和内镜技术,为改善结果提供了潜在的可能性.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨研究 研究
背景情况:
- 靠近腿筋损伤占所有腿筋损伤的12%.
- 靠近腿筋撕裂的手术修复变得越来越普遍.
- 手术的指示包括2+撕裂的肌和>2厘米的收缩.
研究的目的:
- 描述一个结合开放和内镜外科手术技术,用于近端腿筋突破.
- 突出这种混合方法比纯开放或内镜方法的优势.
主要方法:
- 一种使用后侧和后侧侧门户的组合技术.
- 识别和保护后腿部皮肤神经 (PFCN) 和坐骨神经 (SN).
- 阴茎结核制剂与皮层和双重负载位的安装.
主要成果:
- 目前还没有对联合技术的结果研究.
- 潜在的并发症包括神经问题,重新破裂,感染和DVT.
- 对于孤立的开放/内镜修复,观察到显著的术后改善.
结论:
- 与开放手术相比,这种综合方法提供了更好的可视化和神经保护.
- 与内镜方法相比,它可以容纳更大的收缩 (>4厘米) 和慢性撕裂.
- 这种技术为复杂的近位腿筋突变提供了多功能选择.
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