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战时受伤的手腕. 合并和运动保存程序
Serhii Tymoshenko1, Andrii Lysak1,2, Mariia Kotova1
1State Institution 'National Institute of Traumatology and Orthopedics of National Academy of Medical Sciences of Ukraine', Kyiv, Ukraine.
The Journal of hand surgery, European volume
|May 5, 2025
概括
对战斗伤害的二次手腕重建表明,全手腕关节切除是可行的挽救选择. 运动维护程序提供了更好的功能,但由于复杂的骨缺陷而具有挑战性.
科学领域:
- 整形外科手术 整形外科手术
- 创伤外科 手术 创伤外科
- 重建性手术是一种重建性手术.
背景情况:
- 与战斗相关的手腕伤害往往涉及多个手腕骨和远距离半径的严重损伤.
- 由于骨缺陷的复杂性和功能恢复的需要,二次重建存在独特的挑战.
研究的目的:
- 评估与战斗有关的严重手腕伤害患者的二次重建的结果.
- 在这个患者队列中,比较手腕整体关节切除与运动维护手术的结果.
主要方法:
- 对15名与战斗有关的严重手腕受伤的患者进行了回顾性研究.
- 患者接受了手腕整体关节切除 (n=9) 或运动保存手术 (n=6).
- 评估的结果包括功能评分 (QuickDASH) 和握力.
主要成果:
- 在大多数情况下,手腕全关节需要上脊骨移植,获得50的QuickDASH中位数和10公斤的握力.
- 运动保存程序实现了平均50度的运动弧度,平均QuickDASH为34和握力为6公斤.
- 尽管面临挑战,但两种方法都用于重建.
结论:
- 整体手腕关节切除是与战斗有关的严重手腕伤害的主要救援解决方案.
- 运动维护程序可能提供更好的功能结果,但由于广泛的骨缺陷,技术要求很高.
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