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同时开放的三角形纤维软骨复合修复与延伸骨的稳定结果.
Mehek Gupta1, Ellen Y Lee1, David M K Tan2
1Department of Hand & Reconstructive Microsurgery, National University Hospital, Singapore.
The journal of hand surgery Asian-Pacific volume
|January 9, 2026
概括
同时开放修复三角纤维软骨复合体 (TFCC) 的撕裂和延伸骨 (ECU) 的不稳定性产生了很好的结果. 这种结合的手术方法有效地解决了侧手腕疼痛,并恢复了功能.
科学领域:
- 整形外科手术 整形外科手术
- 手和手腕手术手术手术
- 运动医学 运动医学
背景情况:
- 三角纤维软骨复合体 (TFCC) 的撕裂和延伸骨 (ECU) 的不稳定性经常一起发生.
- 这些同时发生的伤害往往导致远端射电关节 (DRUJ) 的不稳定性和持续的侧手腕疼痛.
研究的目的:
- 评估TFCC中断和ECU不稳定的同时开放外科修复的结果.
- 评估结合TFCC修复和ECU稳定在DRUJ不稳定的患者的疗效.
主要方法:
- 对11名同时接受开放TFCC修复和ECU稳定治疗的患者进行了回顾性队列研究.
- 通过临床检查,MRI (TFCC) 和超声波 (ECU) 证实了诊断.
- 手术技术包括使用接和ECU槽深化与子皮膜重建的开放的骨TFCC修复.
主要成果:
- 在运动范围,握力 (72%至93%) 和修改的梅奥手腕评分 (66.4至92.7) 中观察到显著改善.
- 11名患者中有10人报告说,在手术后没有疼痛,并且能够舒适地进行日常活动.
- 平均随访时间为18个月,结果随着时间的推移而持续.
结论:
- 同时开放修复TFCC撕裂和ECU稳定显示了DRUJ不稳定性的优秀结果.
- 建议在DRUJ问题患者中对ECU不稳定性的查,同时治疗可以获得更好的结果.
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