从WALANT手术研究中,被动拉伸和主动收缩距离以及肌单元的特征之间的相关性
Mineyuki Zukawa1, Ryusuke Osada2, Tatsuro Hirokawa1
1Department of Orthopaedic Surgery, Faculty of Medicine, University of Toyama, Toyama, Japan.
Plastic and reconstructive surgery
|August 12, 2025
概括
广度清醒局部麻醉无护手术 (WALANT) 允许在肌重建期间直接观察活跃的肌肉收缩. 这种技术有助于选择适当的肌以改善外科手术结果.
科学领域:
- 整形外科手术 整形外科手术
- 手术手术手术手术手术
- 肌肉骨研究 研究
背景情况:
- 肌重建的结果往往是不可预测的.
- 选择正确的肌单位对于成功至关重要.
- 广度清醒局部麻醉无护 (WALANT) 手术使患者在手术期间能够移动.
研究的目的:
- 在WALANT肌重建手术期间调查活跃的肌肉收缩.
- 评估观察肌特征在手术期间的有用性.
主要方法:
- 从213个WALANT肌重建中评估了148个肌.
- 测量了活动收缩距离和被动拉伸距离.
- 分析了肌肉活跃收缩模式和重建前的时间.
主要成果:
- 积极收缩和被动拉伸的距离正相关; flexor 肌肉显示的距离比延伸器更大.
- 重建的时间与收缩或拉伸距离没有相关性.
- 观察到的特殊模式在 flexor digitorum superficialis 肌肉和延伸指针肌肉.
结论:
- 沃兰特手术独特地允许在手术期间评估肌活动收缩.
- 在肌移植手术中,这种手术内评估似乎对肌移植手术有益.
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