两个门户足以进行全内部的关节镜隔离,修复前额带带
Shi-Ming Feng1, Yue Xue2, Zi-He Zhang2
1Xuzhou Central Hospital, Xuzhou Clinical College of Xuzhou Medical University, Xuzhou, China. fengshiming_04@163.com.
Archives of orthopaedic and trauma surgery
|May 24, 2025
概括
对于慢性侧脚不稳定性 (CLAI) 的全内关节镜前额头带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带带 采用双门技术证明没有表面部神经受伤,这表明了潜在的安全优势.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 关节镜检查 (arthroscopy) 是一种关节镜检查.
背景情况:
- 慢性侧脚不稳定性 (CLAI) 经常通过前侧关节带 (ATFL) 的关节镜修复来管理.
- 使用两个或三个门户的全内关节镜技术在ATFL修复中很常见.
研究的目的:
- 为了比较CLAI的双门和三门全内部关节镜ATFL修复之间的功能结果.
- 评估与每种方法相关的并发症,特别是神经损伤.
主要方法:
- 对66名患有CLAI的患者进行了回顾性比较研究,这些患者接受了隔离的全内关节镜ATFL修复 (2018-2021).
- 患者被分为两个门户 (n=31) 和三个门户 (n=35) 组.
- 评估的结果包括AOFAS分数,KAFS,ATT,AJPS,并发症和恢复体育时间,至少2年后续.
主要成果:
- 在最后的随访中,两组都显示出功能结果 (AOFAS,KAFS,ATT,AJPS) 的显著改善.
- 两组和三组门户之间在操作时间,功能分数或恢复体育运动方面没有发现显著差异.
- 双门组报告没有表面经神经并发症.
结论:
- 对于CLAI的全内部关节镜隔离ATFL修复提供了可比的功能结果,无论使用两个或三个门户.
- 双门技术可以通过避免表面部神经损伤提供安全益处.
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