带肌全移植重建 带肌重建
Matthew G Spivey1, Michael P Campbell1, Lee G Gammon1
1Department of Orthopaedic Surgery, Virginia Commonwealth University Health Systems, Richmond, Virginia, USA.
Video journal of sports medicine
|May 1, 2025
概括
阿基里斯肌全移植有效地重建慢性肌损伤,恢复功能和减少疼痛. 这种方法提供骨愈合,并避免了捐赠者部位的发病率,以改善患者的治疗结果.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学运动医学
- 再生医学是一种再生医学.
背景情况:
- 慢性状肌损伤导致显著的功能缺陷,包括前膝关节疼痛和延伸器软弱.
- 慢性损伤中退化的组织需要通过移植进行增强或重建.
- 阿基里斯肌全移植被认为是重建的可行选择.
研究的目的:
- 描述使用阿基里斯肌全移植重建慢性状肌损伤的技术和结果.
- 评估阿基里斯肌全移植在恢复功能和减少疼痛方面的有效性.
主要方法:
- 手术重建,包括切除状肌,并将阿基里斯肌所有移植骨块固定在结核上.
- 用头螺丝固定骨块,使用克拉科夫来固定移植.
- 四肢肌V-Y推进进行了骨推进.
主要成果:
- 患者在1年的随访中实现了近乎完全的运动范围和最小的延伸器滞后.
- 与手术前状态相比,重建显著改善了疼痛和功能.
- 患者在重建后恢复到他们以前的活动水平.
结论:
- 阿基里斯肌全移植是一种适合慢性状肌损伤重建的选择.
- 优点包括骨的骨到骨愈合,没有捐赠部位的发病率,以及充足的组织可用性.
- 这种技术提供了一个可靠的解决方案,以恢复慢性骨肌损伤的患者的功能.
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