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关节镜辅助下急性月骨周围损伤的复位与经皮固定

Arthroscopic Assisted Reduction and Percutaneous Fixation of Acute Perilunate Injuries.

作者信息

Husain Rafi, Persitz Jonathan, Chan Andrea H W, Paul Ryan

机构信息

Hand Program, Division of Plastic, Reconstructive and Aesthetic Surgery, University Health Network, Toronto Western Hospital, affiliated with Temerty Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada.

出版信息

Arthrosc Tech. 2024 Dec 10;14(4):103350. doi: 10.1016/j.eats.2024.103350. eCollection 2025 Apr.

DOI:10.1016/j.eats.2024.103350
PMID:40452980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12125983/
Abstract

Managing acute perilunate injuries (APLI) presents significant challenges due to the complex anatomy and technical intricacies involved. Despite open reduction and fixation being the gold standard treatment, the long-term prognosis remains guarded. Wide surgical exposures with extensive soft tissue releases may contribute to poorer functional outcomes, particularly with respect to range of motion. This surgical technique describes an approach employing arthroscopic-assisted reduction and fixation, suitable for both acute perilunate dislocation and fracture-dislocation injuries using minimally invasive methods.

摘要

由于涉及复杂的解剖结构和技术复杂性，处理急性月骨周围损伤（APLI）面临重大挑战。尽管切开复位内固定是金标准治疗方法，但其长期预后仍不乐观。广泛的手术暴露和广泛的软组织松解可能导致功能结果较差，尤其是在活动范围方面。本手术技术描述了一种采用关节镜辅助复位和固定的方法，适用于使用微创方法治疗急性月骨周围脱位和骨折脱位损伤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/9121af95446d/gr9.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/cf1595ca0373/gr3.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/a96152858796/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/dddc90c65143/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/19ba225d13ef/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/9121af95446d/gr9.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/7fbc7b74f471/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/890f980c0341/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/cf1595ca0373/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/d9462c03ac9f/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/b459f1708a30/gr5.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/a96152858796/gr6.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/dddc90c65143/gr7.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/19ba225d13ef/gr8.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/76fb/12125983/9121af95446d/gr9.jpg

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本文引用的文献

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Outcomes of acute perilunate injuries-a systematic review.急性月骨周围损伤的结局：系统评价
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Comparative Outcome Analysis of Arthroscopic-Assisted Versus Open Reduction and Fixation of Trans-scaphoid Perilunate Fracture Dislocations.
关节镜辅助与切开复位内固定治疗经舟骨月骨周围骨折脱位的疗效对比分析
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Arthroscopic reduction and percutaneous fixation of perilunate dislocations and fracture-dislocations.经关节镜下复位和经皮固定月骨周围脱位和骨折脱位。
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