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关节镜下桡舟月融合术:手术技术

Arthroscopic Radioscapholunate Fusion: Surgical Technique.

作者信息

de Villeneuve Bargemon Jean-Baptiste, Ben Hadid Nael, Hasegawa Hideo, Levadoux Michel

机构信息

Hand, Wrist and Elbow Surgery, Saint Roch Private Hospital, Toulon, France.

Hand Surgery and Limb Reconstructive Surgery Department, Timone Adultes Hospital, Aix Marseille University, Marseille, France.

出版信息

Arthrosc Tech. 2022 May 21;11(6):e1081-e1085. doi: 10.1016/j.eats.2022.02.015. eCollection 2022 Jun.

Abstract

The development of radioscapholunar osteoarthritis after a distal radius joint fracture is a challenge, especially when it is addressed to young patients who want to maintain some wrist mobility. Classically, radioscapholunar arthrodesis is performed by an open longitudinal approach of more than 10 cm on the dorsal surface, largely exposing the midcarpal level. Wrist arthroscopy has already shown its effectiveness in preserving joint mobility compared to open procedures. Performing this arthroscopic procedure minimizes the "aggression" of the joint and hypothetically provides better mobility. This article details the surgical technique for performing radioscapholunar arthrodesis arthroscopically.

摘要

桡骨远端关节骨折后桡舟月骨关节炎的发展是一项挑战,尤其是对于那些希望保持一定腕关节活动度的年轻患者而言。传统上,桡舟月骨融合术通过在背侧进行超过10厘米的开放纵向入路来实施,这会大面积暴露腕中关节水平。与开放手术相比,腕关节镜检查已显示出其在保留关节活动度方面的有效性。实施这种关节镜手术可将对关节的“侵袭”降至最低,并理论上能提供更好的活动度。本文详细介绍了关节镜下进行桡舟月骨融合术的手术技术。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7432/9244757/5790baa807e4/gr1.jpg

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