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find Keyword "跖肌腱" 3 results
  • 跖肌腱移植重建喙锁及肩锁韧带结合钢板固定治疗肩锁关节脱位

    目的总结应用跖肌腱重建喙锁及肩锁韧带结合钩钢板固定治疗肩锁关节脱位的临床效果。 方法2012年8月-2014年8月,采用跖肌腱“8”字固定重建喙锁及肩锁韧带联合钩钢板固定治疗9例急性肩锁关节脱位患者。男7例,女2例;年龄21~51岁,平均31.7岁。Rockwood分型:Ⅲ型3例,Ⅳ型5例,Ⅴ型1例。受伤至手术时间2~5 d,平均3.3 d。术后随访患者Constant-Murley功能评分、肩关节活动度、复位维持情况及疼痛视觉模拟评分(VAS)。 结果9例均获随访,随访时间12~26个月,平均17.4个月。术后无肩峰撞击、肩峰下骨溶解、再脱位等并发症发生;末次随访时患侧肩关节前屈上举(178.8±1.1)°。末次随访时Constant-Murley评分健患侧比较差异无统计学意义(t=1.142,P=0.312);VAS评分较术前显著改善(t=3.623,P=0.002)。术后1周及末次随访时患侧喙锁间隙距离均较术前显著改善(t=3.294,P=0.004;t=3.237,P=0.005);术后1周与末次随访比较差异无统计学意义(t=0.724,P=0.635)。 结论跖肌腱移植“8”字重建喙锁及肩锁韧带联合钩钢板治疗肩锁关节脱位符合生物力学要求,临床疗效满意且学习曲线短。

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  • 手术治疗孤立型跟骰关节不稳二例

    目的总结手术治疗孤立型跟骰关节不稳的经验。方法2017 年 1 月及 2018 年 2 月共收治 2 例孤立型跟骰关节不稳患者,男、女各 1 例,年龄分别为 66、56 岁。术前美国矫形足踝协会(AOFAS)评分分别为 51、54 分,疼痛视觉模拟评分(VAS)分别为 7、6 分。分别采用跖肌腱转移和带线锚钉修复重建跟骰关节稳定性。结果术后切口均 Ⅰ 期愈合,无感染及血管神经损伤等并发症发生。2 例患者分别获随访 13、11 个月。术前跟骰关节处持续肿胀及疼痛症状消失,无关节不稳,患者可长时间负重行走。末次随访时,AOFAS 评分分别为 97、100 分,VAS 评分为 1、0 分;X 线片示跟骰关节匹配较好。结论跖肌腱转移重建术和带线锚钉修复术均为治疗孤立型跟骰关节不稳的有效、安全方法。

    Release date:2020-04-15 09:18 Export PDF Favorites Scan
  • Anatomical and biomechanical characteristics of plantaris tendon and its application in ligament reconstruction

    Objective To improve the clinical utility of the plantaris tendon mainly by summarizing its anatomical characteristics, biomechanical properties, harvesting methods, and its applications in ligament reconstruction. Methods The relevant literature from domestic and international databases regarding the anatomical and biomechanical characteristics of the plantaris tendon and its applications in ligament reconstruction was comprehensively reviewed and systematically summarized. Results The plantaris tendons have an absence. The majority of plantaris tendon forms a fan-shape on the anterior and medial sides of the Achilles tendon and terminates at the calcaneal tuberosity. There are significant differences in biomechanical parameters between plantaris tendon with different numbers of strands, and multi strand plantaris tendon have significant advantages over single strand tendon. The plantaris tendon can be harvested through proximal and distal approaches, and it is necessary to ensure that there are no obvious anatomical variations or adhesions in the surrounding area before harvesting. The plantaris tendon is commonly utilized in ligament reconstruction around the ankle joint or suture reinforcement for Achilles tendon rupture, with satisfactory effectiveness. There is limited research on the use of plantar tendon in the reconstruction of upper limb and knee joint ligaments. Conclusion The plantaris tendon is relatively superficial, easy to be harvested, and has less impact on local function. The plantaris tendon is commonly utilized in ligaments reconstruction around the ankle joint or suture reinforcement for Achilles tendon rupture. The study on the plantaris tendon for upper limbs and knee joints ligament reconstruction is rarely and require further research.

    Release date:2024-02-20 04:11 Export PDF Favorites Scan
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