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相关概念视频

Bones of the Upper Limb: Ulna01:15

Bones of the Upper Limb: Ulna

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 of the...

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相关实验视频

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Structured Motor Rehabilitation After Selective Nerve Transfers
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常规转换还是现场减压? 在距离骨骨折中重新思考腰椎神经策略

Tahir Öztürk1, Mete Gedikbaş2, Fırat Erpala3

  • 1Department of Orthopaedics and Traumatology, Memorial Bahçelievler Hospital, 34180 İstanbul, Turkey.

Journal of clinical medicine
|October 29, 2025
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概括

在远端骨骨折手术期间,部神经的前置转移增加了术后神经病变的风险. 外科医生应避免常规转移,除非患者有先前存在的部神经病变,这可能有助于恢复.

关键词:
远部骨骨折 骨折 远部骨骨折神经病变是一种神经病变.转化转化转化转化 转化转化部神经是一种神经.

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科学领域:

  • 整形外科手术 整形外科手术
  • 神经学 神经学
  • 创伤护理 创伤护理

背景情况:

  • 远端骨骨折 (DHF) 是一种复杂的关节内损伤.
  • 手术后部神经病变是DHF治疗后的一个常见并发症.
  • 在开放缩减和内部固定 (ORIF) 期间最佳的部神经管理仍在争论中.

研究的目的:

  • 为了比较手术后部神经病变 (UN) 的发生率,在ORIF后对DHF进行比较.
  • 为了评估前部转移 (AT) 和神经在位解压 (ISD) 之间的结果.
  • 评估AT对手术前UN患者的影响.

主要方法:

  • 对68名接受ORIF治疗的患者进行了回顾性审查,以对关节内DHF进行治疗 (2018-2022年).
  • 患者被分为AT (n=14) 和ISD (n=54) 的组.
  • 用修改的麦高温分类来评估部神经病变; 放射性结果按照AO/OTA分类.

主要成果:

  • 手术后的联合国发病率总体为30.8%.
  • 在AT组 (57.1%) 与ISD组 (24%) 中观察到较高的UN率 (p=0.012).
  • 在手术前的UN患者中,AT显示出更好的功能恢复 (71%的分辨率与ISD中的60%相比).

结论:

  • 在DHF或IF中进行轮神经管理的常规AT增加了术后神经病变的风险,应该避免在无症状患者中使用.
  • 在手术前的部神经病变患者中,AT可能有益.
  • 个性化部神经管理对于平衡手术风险和神经结果至关重要.