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“萨伦托技术”(一种改良的双切口入路用于肱二头肌远端肌腱修复)的疗效。手术描述与结果分析。

Efficacy of the "Salento technique", a modified two-incision approach in distal biceps brachii tendon repair. Surgical description and outcomes analysis.

作者信息

Rollo Giuseppe, Meccariello Luigi, Rotini Roberto, Pichierri Paolo, Bisaccia Michele, Fortina Mattia

机构信息

Orthopedics and Traumatology Department, Vito Fazzi Hospital, Lecce, Italy.

Shoulder and Elbow Unit, Rizzoli Orthopedic Institute, Bologna, Italy.

出版信息

J Clin Orthop Trauma. 2019 Sep-Oct;10(5):959-964. doi: 10.1016/j.jcot.2019.02.006. Epub 2019 Feb 8.

DOI:10.1016/j.jcot.2019.02.006
PMID:31528075
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6739296/
Abstract

INTRODUCTION

The biceps brachii lesion needs to be treated surgically. A modified two incisions technique is proposed and reviewed. Material and Methods: All patients were treated with the same technique. The outcomes were measured with the Quick-DASH Score (QDS), and the Mayo Elbow Performance Score (MEPS). Postoperative complications and distal biceps tendon strength were registered also.

RESULTS

At one year from the trauma, the QDS and the MEPS were excellent in all patients. 72.97% fully recovered and returned to work after 6 months from the trauma.

DISCUSSION

This technique, thanks to its preservation of anatomical structures, provides great outcomes.

摘要

引言

肱二头肌损伤需要手术治疗。本文提出并回顾了一种改良的双切口技术。

材料与方法

所有患者均采用相同技术治疗。采用快速DASH评分(QDS)和梅奥肘关节功能评分(MEPS)评估治疗效果。同时记录术后并发症及肱二头肌远端肌腱强度。

结果

创伤后一年,所有患者的QDS和MEPS均为优秀。72.97%的患者在创伤后6个月完全康复并重返工作岗位。

讨论

该技术由于保留了解剖结构,取得了良好的治疗效果。

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本文引用的文献

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EFORT Open Rev. 2017 Mar 13;1(9):316-324. doi: 10.1302/2058-5241.1.000053. eCollection 2016 Sep.
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The use of indomethacin in the prevention of postoperative radioulnar synostosis after distal biceps repair.吲哚美辛在预防肱二头肌远端修复术后桡尺骨融合中的应用。
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Radiostereometric Evaluation of Tendon Elongation After Distal Biceps Repair.肱二头肌远端修复术后肌腱伸长的放射立体测量评估
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Complications of Distal Biceps Tendon Repair: A Meta-analysis of Single-Incision Versus Double-Incision Surgical Technique.肱二头肌远端肌腱修复的并发症:单切口与双切口手术技术的Meta分析
Orthop J Sports Med. 2016 Oct 7;4(10):2325967116668137. doi: 10.1177/2325967116668137. eCollection 2016 Oct.
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Distal biceps tendon repair: comparison of clinical and radiological outcome between bioabsorbable and nonabsorbable screws.肱二头肌远端肌腱修复:可吸收螺钉与不可吸收螺钉的临床及影像学结果比较
J Shoulder Elbow Surg. 2016 Mar;25(3):349-54. doi: 10.1016/j.jse.2015.12.007.
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J Bone Joint Surg Am. 2014 Dec 17;96(24):2086-90. doi: 10.2106/JBJS.M.00481.
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