使用锁定板和无头压缩螺丝与自生性骨移植器的形甲腕关节关节形
Akihiro Hirakawa1, Shingo Komura1, Marie Nohara2
1Department of Orthopaedic Surgery, Gifu University Graduate School of Medicine, Gifu, Japan.
The Journal of hand surgery
|June 12, 2025
概括
这项研究表明,使用锁定板和无头压缩螺丝与骨移植可靠地实现骨结合,用于形甲手关节 (TMC) 关节性关节炎手术. 患者可以期待良好的恢复工作和改善术后疼痛评分.
科学领域:
- 整形外科手术 整形外科手术
- 手部手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手术手 ...
- 手术技术手术技术的使用.
背景情况:
- 形甲手腕关节 (TMC) 关节炎是一种常见的疾病,需要手术治疗.
- 关节切除术是治疗TMC关节关节炎的一种已知手术选择.
- 非结合是TMC关节关节形后的潜在并发症.
研究的目的:
- 为了评估TMC关节关节术的结果,使用锁定板和无头压缩螺丝与自身骨移植.
- 评估这种手术技术后的结合率,功能恢复和患者报告的结果.
主要方法:
- 21个指的队列接受了TMC关节切除,使用锁定板,无头压缩螺丝和自身骨移植.
- 骨结合被评估使用放射和计算机断层扫描.
- 患者报告的结果,包括恢复工作,握力/力,运动范围和验证的问卷 (VAS,DASH,Hand20),在手术前和手术后的3,6和12个月收集.
主要成果:
- 所有21名患者都实现了骨结合,并发生在8至11周内.
- 在14名有工作的患者中,有13人平均在7周内回到原来的工作位.
- 6个月后,握力和握力恢复到基线;然而,甲手腕关节曲和卡邦吉得分在1年内持续下降. 疼痛评分 (VAS) 和功能评分 (DASH,Hand20) 在长达1年的时间里显著且持续改善.
结论:
- 锁定板,无头压缩螺丝和自生骨移植的组合为TMC关节关节术提供了可靠的骨联合.
- 这种手术方法有助于成功恢复工作,并改善患者报告的结果,包括减少疼痛和提高功能.
相关概念视频
Fractures: Bone Repair
5.9K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
5.9K
Bones of the Upper Limb: Ulna
8.9K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
8.9K
Bones of the Upper Limb: Radius
9.1K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
9.1K
Structural Joints: Fibrous Joints
4.2K
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
4.2K
Ankle Joint
3.4K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
3.4K

