在远距离双臂修复后的侧面前臂皮肤神经病变:回顾性审查
Eshan S Sane1, Stephen J DeMartini1, Cole I Davis1
1Washington University School of Medicine, St. Louis, MO, USA.
Hand (New York, N.Y.)
|December 12, 2025
概括
某些外科手术技术,如双切口方法和起重机,可能会降低远距离双肩修复后侧面前臂皮肤神经病变 (LABCN) 的风险. 患者因素与LABCN发展没有显著联系.
科学领域:
- 整形外科手术 整形外科手术
- 神经损伤 神经损伤
- 重建程序重建程序的重建程序
背景情况:
- 侧向前臂肌神经病变 (LABCN) 是远距离双肩肌修复的已知的并发症.
- 有助于LABCN后修复的风险因素尚未得到充分确定.
研究的目的:
- 为了确定患者的人口统计,损伤特征和与术后LABCN相关的手术技术.
- 为了确定影响LABCN发生率的因素,在远距离双肩修复后.
主要方法:
- 对275名接受远距离双肩肌修复的患者的回顾性审查.
- 分析患者特征 (年龄,BMI,烟草/酒精使用) 和手术因素 (带时间,方法,类型,之前的手术).
- 通过患者报告的感官变化确定LABCN;使用千平方和t测试进行统计分析.
主要成果:
- 22.9%的患者发生了LABCN.
- 两次切口技术和螺栓固定与较低的LABCN率有关.
- 慢性破裂,部分厚度撕裂和之前的双侧肩手术与更高的LABCN率相关.
结论:
- 手术方法和固定方法对LABCN率产生影响.
- 除了之前的肩膀手术或慢性破裂之外,与患者相关的因素没有显著增加LABCN风险.
- 了解这些因素可以帮助在远距离双肩修复过程中最大限度地减少神经损伤.
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