脊椎关节分离:并发症和如何避免它们
Emmanuel Nnamdi Osadebey1,2, Stephan G Pill1,2, Geoff D Abrams1,2
1From the University of Texas Health Science Center at Houston, Houston, Texas (Osadebey), University of South Carolina School of Medicine, Greenville, South Carolina, Sports Medicine and Shoulder Reconstruction at Prisma Health (Pill), Department of Orthopedic Surgery at Stanford University, Redwood City, California, School of Medicine (Abrams) and the Department of Orthopaedic Surgery, University of Texas Health Science Center at Houston (Gregory).
讨论了管理关节分离,各种手术技术和不断演变的并发症. 本综述检查了手术和非手术治疗的并发症,为骨关节损伤,提供策略,以最大限度地降低风险.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 脊椎关节 (AC) 关节分离是常见的肩膀损伤.
- 目前对AC联合分离的管理策略缺乏最终的共识.
- 对交流关节损伤的外科手术技术已经进步,影响了并发症率.
研究的目的:
- 审查与AC关节分离的各种手术技术相关的并发症.
- 为了突出由AC关节损伤的非手术治疗引起的并发症.
- 提供基于证据的策略,以尽量减少AC联合管理中的并发症.
主要方法:
- 关于AC联合分离管理研究的综合文献综述.
- 分析与不同手术干预相关的并发症概况.
- 包括关于非手术治疗结果和不良事件的数据.
主要成果:
- 根据用于AC关节分离的手术技术,并发症率有很大差异.
- 非手术治疗也带来了一系列潜在的并发症.
- 特定的外科手术方法与不同的不良结果模式有关.
结论:
- 对于AC关节分离的最佳手术技术尚未得到普遍同意.
- 了解和预测技术特异性并发症对于患者咨询至关重要.
- 实施基于证据的策略可以改善结果,并减少AC关节损伤管理中的发病率.
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