顺序双侧腰椎缩短骨切除术和关节镜三角纤维软骨复杂的骨修复
Soo Min Cha1, Seung Hoo Lee2, In Ho Ga3
1Department of Orthopedic Surgery, Regional Rheumatoid and Degenerative Arthritis Center, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, South Korea.
Hand surgery & rehabilitation
|February 13, 2026
概括
连续的双侧关节缩短骨切除术与TFCC关节修复有效治疗关节冲击综合征和远端放射关节不稳定. 两个手腕都显示出相似的改善,这表明无论手术方面如何,都取得了良好的结果.
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:
- 突冲击综合征 (UIS) 和远距离放射突关节 (DRUJ) 的不稳定性通常存在双边.
- 顺序双边手术解决了最初单边治疗后可能出现的逆侧症状.
研究的目的:
- 分析顺序双侧缩骨切除术与关节镜三角纤维软骨复合体 (TFCC) 骨修复的临床特征和手术结果.
- 为了研究在DRUJ不稳定性UIS的单边手术后出现逆侧症状的发展.
主要方法:
- 对26名患者进行双边缩骨切除术与TFCC骨修复的回顾性审查 (2015-2022年).
- 纳入标准:阳性腰椎变异 (≥3mm),月经性肌肉病,TFCC脱落,以及两个手腕的DRUJ不稳定性.
- 每个手腕至少2年的随访时间.
主要成果:
- 88%的初始手术是在主导侧;所有手术前状态都得到改善.
- 逆侧手术发生的平均间隔为15.7个月.
- 两个手术组在握力强度,VAS,MMWS和DASH分数方面都有相似的改善.
结论:
- 连续的双侧缩骨切除术与TFCC形修复提供了有利的结果.
- 逆侧病理可能来自退行性变化和补偿性过度使用,不一定是创伤.
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