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通过一个独特病例审视赞科利-拉索手术适应症及手术技术。

A look at Zancolli-Lasso indications and surgical technique with a unique case.

作者信息

Alasaad Hakam, Diri Doried, Mhana Sedra Abou Ali

机构信息

Faculty of Medicine, Damascus university, Damascus, Syria.

Faculty of Medicine, Damascus university, Damascus, Syria.

出版信息

Int J Surg Case Rep. 2024 Dec;125:110499. doi: 10.1016/j.ijscr.2024.110499. Epub 2024 Oct 26.

DOI:10.1016/j.ijscr.2024.110499
PMID:39476716
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11550633/
Abstract

INTRODUCTION

Forearm lacerations could lead to disastrous disabilities, nerve injuries led by the ulna nerve cause severe hand deformity and disfunction with little options to repair.

CASE PRESENTATION

A young male suffered a distal ulna nerve injury and underwent multiple surgeries over two years. Zancolli-Lasso procedure was done, and major improvement was obtained.

DISCUSSION

A comprehensive approach for claw hand is essential, supple mobile joints and the Bouvier maneuver are the most decisive factors, literature shows that the right procedure will work for the right patient.

CONCLUSION

The Zancolli procedure could be a simple viable treatment for a compliant patient who suffers from hand clawing and adapted to a weaker pinch.

摘要

引言

前臂撕裂伤可能导致灾难性的残疾，尺神经损伤会导致严重的手部畸形和功能障碍，修复选择很少。

病例报告

一名年轻男性遭受尺神经远端损伤，在两年内接受了多次手术。进行了赞科利-套索手术，并取得了显著改善。

讨论

对于爪形手，综合治疗方法至关重要，灵活的活动关节和布维耶手法是最关键的因素，文献表明正确的手术方法适用于合适的患者。

结论

赞科利手术对于患有手部爪形畸形且适应较弱捏力的依从性患者可能是一种简单可行的治疗方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/11550633/6f6f56188394/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/11550633/6865c6e1035b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/11550633/6f6f56188394/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/11550633/6865c6e1035b/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/33a8/11550633/6f6f56188394/gr2.jpg

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Zancolli lasso procedure for correction of paralytic claw hands.用于矫正麻痹性爪形手的赞科利套索手术
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