微创股四头肌成形术
Minimally Invasive Quadricepsplasty.
作者信息
Dos Santos Cerqueira Flávio, T Araújo Motta Guilherme Augusto, Rocha de Faria José Leonardo, Perez da Motta Diego, Dos Santos Cerqueira Fernando, Adolphson Fernando
机构信息
Dysmetria and Deformities Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, Brazil.
Knee Surgery Center, National Institute of Traumatology and Orthopedics of Brazil, Rio de Janeiro, Brazil.
出版信息
Arthrosc Tech. 2019 Feb 25;8(3):e343-e347. doi: 10.1016/j.eats.2018.11.005. eCollection 2019 Mar.
A modification of range of motion of the knee can significantly change a patient's quality of life. In general, range of motion of 0° to 125° is adequate for most activities of daily life. The rate of knee arthrofibrosis after ligament reconstruction is reported to be between 0% and 4%; after tibial fracture due to high-energy trauma, the rate is about 7%, with an undetermined incidence after limb lengthening. The purpose of this study was to describe a modification of the operative technique of Judet. We describe minimally invasive quadricepsplasty in 4 steps, aiming to obtain an end result with an arc of movement of at least 120° to 130°. We believe that our technique is a good option for the treatment of the stiff knee, having low morbidity and being an easy method to perform.
膝关节活动范围的改变会显著影响患者的生活质量。一般来说，0°至125°的活动范围足以满足大多数日常生活活动。据报道，韧带重建术后膝关节纤维性关节强直的发生率在0%至4%之间；高能创伤导致胫骨骨折后，发生率约为7%，肢体延长术后的发生率尚不确定。本研究的目的是描述一种对Judet手术技术的改良。我们分4步描述了微创股四头肌成形术，旨在获得至少120°至130°的活动弧度的最终结果。我们认为，我们的技术是治疗膝关节僵硬的一个好选择，具有低发病率且操作简便。
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