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使用原始髓内纽扣进行肱二头肌远端肌腱修复翻修术。

Revision Distal Biceps Tendon Repair Using Original Intramedullary Buttons.

作者信息

Adams Bryan, Yow Bobby, Daniels Christopher, Morgan Emily

机构信息

John A. Feagin, Jr. Sports Medicine Fellowship, Keller Army Community Hospital, West Point, New York.

Madigan Army Medical Center, Tacoma, Washington, U.S.A.

出版信息

Arthrosc Tech. 2023 Jan 18;12(2):e297-e300. doi: 10.1016/j.eats.2022.11.006. eCollection 2023 Feb.

DOI:10.1016/j.eats.2022.11.006
PMID:36879875
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9984848/
Abstract

There are several techniques used for tendon fixation in distal biceps tendon repair. Intramedullary unicortical button fixation has the advantage of high biomechanical strength, minimal proximal radial bone removal, and low risk of injury to the posterior interosseous nerve. One disadvantage in revision surgery is retained implants in the medullary canal. This article describes a novel technique for revision distal biceps repair initially fixed with intramedullary unicortical buttons, using the original implants.

摘要

在肱二头肌远端肌腱修复中,有几种用于肌腱固定的技术。髓内单皮质纽扣固定具有生物力学强度高、近端桡骨去除最少以及骨间后神经损伤风险低的优点。翻修手术的一个缺点是髓腔内会残留植入物。本文介绍了一种新颖的翻修肱二头肌远端修复技术,该技术最初使用髓内单皮质纽扣进行固定,并利用原来的植入物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810b/9984848/c977dabf3e9f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810b/9984848/40a7163d9a04/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810b/9984848/a263a996221c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810b/9984848/c977dabf3e9f/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810b/9984848/40a7163d9a04/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810b/9984848/a263a996221c/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/810b/9984848/c977dabf3e9f/gr3.jpg

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本文引用的文献

1
No Significant Difference Between Intramedullary and Extramedullary Button Fixation for Distal Biceps Brachii Tendon Rupture After Cyclic Loading in a Cadaver Model.在尸体模型中进行循环加载后,肱二头肌远端肌腱断裂的髓内纽扣固定和髓外纽扣固定之间无显著差异。
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Cost-Effectiveness Analysis of Syndesmotic Screw Versus Suture Button Fixation in Tibiofibular Syndesmotic Injuries.
下胫腓联合损伤中螺钉与缝线纽扣固定的成本效果分析。
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J Am Acad Orthop Surg. 2018 Feb 15;26(4):e77-e89. doi: 10.5435/JAAOS-D-17-00085.
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Knee Surg Sports Traumatol Arthrosc. 2015 Mar;23(3):926-33. doi: 10.1007/s00167-013-2590-0. Epub 2013 Jul 6.
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Relationship between implant use, operative time, and costs associated with distal biceps tendon reattachment.植入物使用、手术时间与肱二头肌远端重新附着相关成本之间的关系。
Orthopedics. 2012 Nov;35(11):e1618-24. doi: 10.3928/01477447-20121023-19.
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J Bone Joint Surg Am. 2012 Jul 3;94(13):1166-74. doi: 10.2106/JBJS.K.00436.
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The distal biceps tendon. Two potential mechanisms involved in its rupture: arterial supply and mechanical impingement.肱二头肌远端肌腱。其断裂涉及两种潜在机制:动脉血供和机械性撞击。
J Shoulder Elbow Surg. 1995 May-Jun;4(3):149-56. doi: 10.1016/s1058-2746(05)80044-8.