在一个老年患者中,使用跨度板进行远距离半径错合的纠正骨切除术
Alienor De Bue1, Lucas Audiffret1, Najib Kachouh1
1Hand Surgery and Limb Reconstructive Surgery Department, La Timone Adult Hospital, Aix Marseille University, 264 Rue Saint Pierre, 13005 Marseille, France.
Hand surgery & rehabilitation
|November 23, 2025
概括
在骨质质量差的老年患者中,跨板提供了远半径正骨切除术的临时固定解决方案. 这种方法可以立即减重,保持患者的自主权,并导致良好的功能恢复.
科学领域:
- 整形外科手术 整形外科手术
- 创伤学 创伤学 创伤学
- 老年医学 老年医学
背景情况:
- 在老年人中,远距离半径恶性结合会因为骨质疏松症和保持独立性的需要而带来治疗挑战.
- 跨度板对于远距离半径骨折很常见,但它们在纠正性骨切除术中的使用是未经记录的.
研究的目的:
- 评价使用背部跨板进行正骨切除术在一个虚弱的老年患者与远距离半径不良.
- 评估功能和放射性结果以及对患者自主权的影响.
主要方法:
- 一个病例报告是一名77岁的女性,患有远端半径不良结合,接受了正骨切除术,自身骨移植和背部跨度板固定治疗.
- 这项手术与带关节形术同时进行,允许立即使用棒子和早期康复.
主要成果:
- 患者在11天内实现了全指曲恢复.
- 在移除后5个月,她有50°的曲/延伸,12公斤的握力,疼痛消失,QuickDASH分数为18.18.
- 该技术促进了立即承重,并保持了自主性.
结论:
- 在脆弱的老年患者中,背部跨度板可以成为远距离半径正性骨切除术的可行临时固定.
- 这种方法支持立即承重,维护自主性,并产生令人满意的功能和放射性结果.
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