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相关概念视频

Ankle Joint01:10

Ankle Joint

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The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
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[中侧附带带支架] 中侧附带带支架

Maiti Münchgesang1, Daniel Günther2

  • 1Klinik für Orthopädie, Unfallchirurgie und Sporttraumatologie, Krankenhaus Köln-Merheim, Universität Witten/Herdecke, Ostmerheimer Str. 200, 51109, Köln, Deutschland.

Operative Orthopadie und Traumatologie
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概括
此摘要是机器生成的。

本研究介绍了急性中间侧带 (MCL) 撕裂的外科手术技术,重点是重新固定和增强,以稳定中间膝盖. 术后管理涉及控制的运动范围和逐渐的承重,以优化愈合.

关键词:
胸罩增强器 胸罩增强器深部中部附带带带深部附带带中间的不稳定性.后侧斜带带 后侧斜带表面的中间附带带.

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科学领域:

  • 整形外科手术 整形外科手术
  • 膝关节带重建工程 膝关节带重建工程
  • 运动医学运动医学

背景情况:

  • 急性中间侧带 (MCL) 破裂,特别是III级撕裂,通常需要进行手术以稳定膝盖的中间部位.
  • 结合性损伤或涉及MCL的多关节损伤在膝盖重建中提出了复杂的挑战.

研究的目的:

  • 描述一种手术技术,用于治疗急性,孤立的III级MCL破裂和相关损伤.
  • 概述一种方法,用于介质稳定,以抵御骨应力和旋转不稳定性.
  • 详细介绍手术后管理方案,以优化MCL修复后的恢复.

主要方法:

  • 该技术涉及关节镜和迷你开放手术的组合,用于使用接固定表面MCL (sMCL),深层MCL (dMCL) 和后斜带 (POL).
  • 解剖学定位和X射线控制在接位放置过程中至关重要.
  • 建议在术后用带增加sMCL,并使用稳定型硬框架骨架.

主要成果:

  • 描述的技术旨在通过解决所有受伤结构来恢复膝关节中间稳定性.
  • 手术后的管理包括控制体重和在几周内逐渐增加运动范围.
  • 该方案有助于逐步恢复,在第七周之前过渡到自由运动范围和非位训练.

结论:

  • 这种外科手术方法提供了一种稳定急性MCL损伤的方法,解决形和旋转不稳定性.
  • 复位,增强和结构化术后康复的结合是成功结果的关键.
  • 这种技术为在骨科膝关节手术中管理复杂的MCL破裂提供了可行的选择.