WALANT 下关节外微创掌骨头逆行髓内无头钉骨切开术-手术技术。
Extra-articular mini-open proximal phalanx osteotomy with retrograde intramedullary headless screw under WALANT - Surgical technical.
机构信息
Artezieux Center, 40 Avenue des Alpes, 38300 Bourgoin Jallieu, France.
Université de Picardie - Jules Verne, 1-3 Rue des Louvels, 80000 Amiens, France.
出版信息
Hand Surg Rehabil. 2021 Oct;40(5):687-691. doi: 10.1016/j.hansur.2021.05.005. Epub 2021 May 24.
We report on the surgical technique for mini-open derotation osteotomy using retrograde osteosynthesis by headless compression screw under WALANT anesthesia (video attached). Preoperative CT showed the feasibility of this technique, with a 2.2 mm headless compression screw. The mechanical stability of the resulting constructs combined with intraoperative active motion testing under WALANT authorized immediate rehabilitation without immobilization, thus preventing stiffness. Joint range of motion recovered by day 4 and bone consolidation was achieved at 30 days.
我们报告了一种在 WALANT 麻醉下使用无头加压螺钉逆行骨合成的微创旋转截骨术的手术技术（附视频）。术前 CT 显示该技术可行，可使用 2.2mm 无头加压螺钉。在 WALANT 下进行的术中主动运动测试显示，所产生的固定结构具有良好的机械稳定性，因此可立即进行无需固定的康复治疗，从而防止僵硬。关节活动度在第 4 天恢复，30 天达到骨愈合。
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