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关节镜下舟头状骨融合术：手术技术

Arthroscopic Scaphocapitate Fusion: Surgical Technique.

作者信息

de Villeneuve Bargemon Jean-Baptiste, Peras Matthieu, Hasegawa Hideo, Levadoux Michel

机构信息

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

Department of Orthopedic Surgery and Traumatology, Teaching Naval Hospital Sainte-Anne, Toulon France.

出版信息

Arthrosc Tech. 2022 Jun 21;11(7):e1289-e1294. doi: 10.1016/j.eats.2022.03.012. eCollection 2022 Jul.

DOI:10.1016/j.eats.2022.03.012
PMID:35936845
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9353331/
Abstract

Scapholunate fusion appears to be an interesting surgical solution for carpal pathologies, which are sometimes difficult to manage as Kienbock's disease or chronic scapholunate instability. Open intracarpal fusion is notorious for decreasing joint range of motion due to the fusion of several carpal bones and because of the capsulotomy sectioning important ligamentous elements in carpal biomechanics. Wrist arthroscopy has already demonstrated its effectiveness in preserving joint mobility compared with open procedures. In this work, we present a detailed procedure for performing a scaphocapitate fusion under arthroscopy by specifying the key points of this procedure in our experience.

摘要

舟月融合术似乎是治疗腕骨病变的一种有趣的手术解决方案，这些病变有时难以处理，如月骨无菌性坏死或慢性舟月不稳定。开放性腕骨融合术因融合多块腕骨以及切开在腕骨生物力学中起重要作用的韧带结构导致关节活动范围减小而声名狼藉。与开放性手术相比，腕关节镜检查已证明其在保留关节活动度方面的有效性。在这项工作中，我们通过详细说明我们经验中的该手术关键点，介绍了一种在关节镜下进行舟头状骨融合的详细手术方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/7e65b1f48819/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/1463a64e61bf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/3cefb85ee84c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/1c5c3e7c46a1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/32a8fe1c55bc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/04db4424f145/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/4ca926a84cb4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/07890ecfb77f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/7e65b1f48819/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/1463a64e61bf/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/3cefb85ee84c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/1c5c3e7c46a1/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/32a8fe1c55bc/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/04db4424f145/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/4ca926a84cb4/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/07890ecfb77f/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3c1a/9353331/7e65b1f48819/gr8.jpg

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Hand Surg Rehabil. 2020 May;39(3):201-206. doi: 10.1016/j.hansur.2020.01.002. Epub 2020 Feb 15.
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