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臂丛神经损伤中连枷上肢的处理

The management of the flail upper extremity in brachial plexus injuries.

作者信息

Rorabeck C H

出版信息

J Trauma. 1980 Jun;20(6):491-3. doi: 10.1097/00005373-198006000-00010.

DOI:10.1097/00005373-198006000-00010
PMID:7373680
Abstract

Twenty-three patients with total complete brachial plexus injuries were reviewed an average of 5.5 years from the time of injury. Three different treatment approaches were used; no surgery (four), above-elbow amputation alone (14), and shoulder arthrodesis combined with above-elbow amputation (five). Return to gainful employment and prosthetic wearing habits were best achieved with early (within the first year) above-elbow amputation alone. There seemed little to recommend arthrodesis of the shoulder combined with above elbow amputation.

摘要

对23例全臂丛神经完全损伤患者进行了回顾性研究,平均随访时间为受伤后5.5年。采用了三种不同的治疗方法:未手术(4例)、单纯肘关节以上截肢(14例)、肩关节融合术联合肘关节以上截肢(5例)。早期(第一年以内)单纯肘关节以上截肢在恢复有报酬工作和假肢佩戴习惯方面效果最佳。肩关节融合术联合肘关节以上截肢似乎没有什么可取之处。

相似文献

1
The management of the flail upper extremity in brachial plexus injuries.臂丛神经损伤中连枷上肢的处理
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Combined glenohumeral arthrodesis and above-elbow amputation for the flail limb following a complete posttraumatic brachial plexus injury.创伤后臂丛神经完全损伤后连枷上肢的肩关节融合术与肘上截肢联合手术。
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Elective amputation of the upper limb is an option in the treatment of traumatic injuries of the brachial plexus?选择性上肢截肢是治疗臂丛神经创伤性损伤的一种选择吗?
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