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“三韧带固定术”能否恢复静态慢性舟月骨分离的腕骨结构?

Does the "three-ligament tenodesis" procedure restore carpal architecture in static chronic scapholunate dissociation?

作者信息

De Smet Luc, Goeminne Sofie, Degreef Ilse

机构信息

University Hospitals Leuven, Pellenberg, Belgium.

出版信息

Acta Orthop Belg. 2013 Jun;79(3):271-4.

PMID:23926728
Abstract

The effect of the three-ligament tenodesis on the scapholunate angle and scapholunate gap was studied. A comparison was made between these angles preoperatively and postoperatively in 12 patients. There was a significant decrease in the scapholunate angle from 77 to 68 degrees, and the scapholunate gap was reduced from 4.25 mm to 3.29 mm. We also studied the correlation between scapholunate angle and scapholunate gap postoperatively in a cohort of 25 patients and found a significant correlation. This suggests that the principle of the procedure is correct, but the aims are not fully achieved, and that the procedure has a similar effect on SL gap and SL angle.

摘要

研究了三韧带固定术对舟月角和舟月间隙的影响。对12例患者术前和术后的这些角度进行了比较。舟月角从77度显著降至68度,舟月间隙从4.25毫米减少至3.29毫米。我们还对25例患者术后的舟月角和舟月间隙之间的相关性进行了研究,发现存在显著相关性。这表明该手术的原理是正确的,但目标并未完全实现,且该手术对舟月间隙和舟月角有相似的影响。

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Does the "three-ligament tenodesis" procedure restore carpal architecture in static chronic scapholunate dissociation?“三韧带固定术”能否恢复静态慢性舟月骨分离的腕骨结构?
Acta Orthop Belg. 2013 Jun;79(3):271-4.
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引用本文的文献

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J Wrist Surg. 2022 Dec 8;12(4):345-352. doi: 10.1055/s-0042-1759729. eCollection 2023 Aug.
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Treatment of static scapholunate dissociation using a slip of the flexor carpi radialis.采用桡侧腕屈肌滑液囊转移术治疗静态舟月骨分离
Eur J Orthop Surg Traumatol. 2020 Oct;30(7):1299-1306. doi: 10.1007/s00590-020-02706-2. Epub 2020 May 23.
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New concept of scapholunate dissociation treatment and novel modification of Brunelli procedure - anatomical study.
舟月关节分离治疗的新概念及Brunelli手术的新型改良——解剖学研究
BMC Musculoskelet Disord. 2014 May 23;15:172. doi: 10.1186/1471-2474-15-172.