在精英岩石登者中,曲肌滑轮破裂的直接接
Emile Balandier1, Claire Bergel2, Jean-Louis Milan1
1Aix Marseille Univ, CNRS, ISM, Marseille, France.
Hand surgery & rehabilitation
|November 28, 2025
概括
直接修复手指 flexor 肌滑轮破裂的,为登山者提供更快的恢复. 这种技术提供了出色的结果,使得与移植手术相比,与最小的并发症相比,可以更快地恢复运动.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 手术手术手术手术手术
背景情况:
- 关闭性创伤性断裂的手指曲器肌轮在运动登者中很常见.
- 目前的标准手术修复涉及移植材料,恢复超过六个月和潜在的移植相关的发病率.
研究的目的:
- 为了评估直接修复手指曲器肌滑轮破裂的疗效.
- 将恢复时间和结果与传统的基于移植的重建进行比较.
主要方法:
- 八个病例的回顾性审查 (六个孤立的,两个多重破裂) 用直接修复和早期积极康复治疗.
- 结果通过巴克-格拉姆科分数,损伤前与术后的爬水平,肌与骨的距离,手的力量和三年后的超声波来评估.
主要成果:
- 患者平均在5.8个月内恢复到受伤前的爬水平,比移植重建更快.
- 获得了优秀的巴克-格拉姆科分数,功能投诉最小,肌骨距离正常.
- 超声波证实了检查患者的滑轮连续性和适当的机械行为.
结论:
- 在高水平登山者中,直接接修复是移植重建的有价值替代方案,用于指纹 flexor 肌滑轮破裂.
- 这种方法有助于更快地恢复登,降低了发病率.
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