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辐射侧手腕半关节整形术的结果:一个系统的审查
Samuel D Stegelmann1, Sean Porter2, Jae Yim2
1Department of Orthopaedic Surgery, Medical City Denton, Denton, TX, USA.
Journal of orthopaedics
|June 23, 2025
概括
手腕半关节整形 (WHA) 提供了运动的保存,但显示出不同的结果. 这篇评论强调了高的并发症率,强调了为这种手腕手术需要仔细选择患者的必要性.
科学领域:
- 整形外科手术 整形外科手术
- 重建性手术是一种重建性手术.
- 上肢手术是上肢的手术.
背景情况:
- 与手腕整形或关节切除相比,手腕整形 (WHA) 越来越多地被用作节约运动的选择.
- 目前有限的临床数据支持WHA在各种手腕病理方面的广泛使用.
研究的目的:
- 系统地审查与手腕关节整形 (WHA) 相关的临床结果和并发症.
- 评估WHA在不同适应症中的疗效和安全性.
主要方法:
- 对PubMed,Cochrane和Embase数据库进行了系统审查.
- 包括到2023年1月发表的关于使用远端半径假肢报告WHA结果的研究.
- 主要结局:DASH得分,VAS,握力,ROM.主要结局:DASH得分,VAS,握力,ROM.主要结局:DASH得分,VAS,握力,ROM.主要结局:DASH得分,VAS,握力,ROM.主要结局:DASH得分. 二次结果:并发症,修订,重新手术.
主要成果:
- 分析了12项涉及207名患者的研究.
- 手术后的DASH分数从18.2到58.6不等,VAS从1到3.8.不等.
- 平均ROM被保留,但临床并发症发生在26.6%,其中12.2%需要修复手术.
结论:
- 手腕整形术的结果是高度可变的,受患者因素和手术指示的影响.
- 虽然WHA保留了运动范围,但它与并发症和重新手术的重大风险有关.
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