在肘部的后侧旋转不稳定性
Brett D Haislup1, Linda L Zhang, Caroline Chebli
1From the Department of Should and Elbow Surgery, MedStar Union Memorial Hospital, Baltimore, MD (Haislup and Murthi), the Portland Veterans Affairs Center, Portland, OR (Zhang), and the Department of Orthopaedic Surgery, University of South Florida, Tampa, FL (Chebli).
The Journal of the American Academy of Orthopaedic Surgeons
|September 2, 2025
概括
肘部的后侧旋转不稳定性 (PLRI),通常来自侧侧关节带 (LUCL) 损伤,可能导致慢性不稳定性. 在没有骨钻孔的情况下提供了新的手术解决方案.
科学领域:
- 骨科手术
- 运动医学
- 肘部生物力学
背景情况:
- 慢性侧侧带 (LUCL) 损伤导致肘部的后侧旋转不稳定性 (PLRI).
- 这种不稳定导致腰关节和半径头部脱,影响轴承负荷的活动.
- 之前使用自由移植的治疗方法有局限性,包括固定要求和低于最佳的动力复制.
研究的目的:
- 描述PLRI的评估,管理和治疗.
- 作为PLRI的外科手术技术,
- 提供手术程序的视频和详细描述.
主要方法:
- 手术技术文件详细介绍了骨切移的情况.
- 专注于避免骨钻孔,并尽量减少移植部位的疾病.
- 包括PLRI的评估和管理策略.
主要成果:
- 作为另一种手术选择,
- 这种技术避免了对肘部进行钻探.
- 与传统的免费移植相比,它还能最大限度地减少移植部位的发病率.
结论:
- 在慢性PLRI中, 分裂带移植是一种可行的手术选择.
- 这种技术在免费移植手术上具有优势.
- 它解决了没有大量的骨准备的LUCL缺乏.
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