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半压力远距离放射关节关节整形术:功能结果和并发症
Matthew J Pina1, Harmony Tan Chern Yang1, Gonzalo Pintado1
1Christine M. Kleinert Institute for Hand and Microsurgery, Louisville, Kentucky.
半压力远距离放射关节 (DRUJ) 关节整形为患者提供显著的疼痛缓解和功能改善. 虽然可能会出现并发症,但高植入物存活率和患者满意度是值得注意的结果.
科学领域:
- 整形外科手术 整形外科手术
- 生物医学工程 生物医学工程
- 重建性手术是一种重建性手术.
背景情况:
- 半受约束的远端放射关节 (DRUJ) 假肢为持续的DRUJ病理提供了可行的治疗方法.
- 这种植入物在管理复杂的手腕疾病方面表现出令人鼓舞的结果.
研究的目的:
- 评估半受约束DRUJ关节塑形术的功能结果,并发症率和影响因素.
- 评估接受这种手术的患者的短期到中期结果.
主要方法:
- 在2010年至2022年期间进行的47次DRUJ关节整形手术的回顾性审查.
- 收集的数据包括运动范围,握力和患者报告的结果指标 (PROM).
- 并发症被分为重大 (手术干预) 或轻微 (保守管理).
主要成果:
- 术后观察到的抑郁和视觉模拟尺度 (VAS) 疼痛评分的显著改善.
- 根据修改后的梅奥手腕评分 (mMWS) 测量,报告了手腕功能的改善.
- 17%的整体并发症率,100%的植入物存活率;之前的手术与各种结果相关.
结论:
- 半压力DRUJ关节整形术有效地减少疼痛,并在短期到中期改善功能.
- 以前接受过手术的患者可能会出现更高的疼痛和更严重的PROM.
- 尽管有常见的轻微并发症,但实现了高植入物存活率和患者满意度.
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