Phẫu Thuật Xâm Lấn Tối Thiểu: Liệu Có Vai Trò Trong Quản Lý Gãy Xương Radius Đặc Điểm Không?

Current Reviews in Musculoskeletal Medicine - Tập 14 - Trang 95-100 - 2021
Adam J. Mirarchi1, Omar F. Nazir1
1Department of Orthopaedics and Rehabilitation, Oregon Health and Science University, Portland, USA

Tóm tắt

Bài tổng quan này khám phá các kỹ thuật phẫu thuật xâm lấn tối thiểu cho gãy xương radius distal và hướng dẫn việc sử dụng chúng cùng với, hoặc như một phương pháp thay thế cho, việc đặt đinh khóa từ mặt trước. Các gãy ở mặt lunate, gãy die-punch và các chấn thương cắt mép khớp gây ra những thách thức mà không thể dễ dàng được giải quyết bằng việc đặt đinh từ mặt trước. Việc sử dụng cố định bên ngoài, dây Kirschner và đặt đinh cầu phía sau đều nên được xem xét. Những kỹ thuật này, kết hợp và thêm vào việc đặt đinh khóa từ mặt trước, vẫn tiếp tục đóng một vai trò quan trọng trong việc quản lý gãy xương. Phẫu thuật hỗ trợ qua nội soi với việc cố định xâm lấn tối thiểu cho phép kiểm tra chi tiết khớp quay-giáp. Điều trị kín và bó bột vẫn tiếp tục giữ vai trò quan trọng trong việc chăm sóc gãy xương radius distal. Vai trò của phẫu thuật xâm lấn tối thiểu đối với gãy xương radius distal vẫn đang được định hình. Mặc dù việc cố định bằng đinh khóa từ mặt trước vẫn là phương pháp điều trị phổ biến nhất, các kỹ thuật khác nên được xem xét để cải thiện kết quả và giảm thiểu biến chứng.

Từ khóa

#phẫu thuật xâm lấn tối thiểu #gãy xương radius #đinh khóa #cố định bên ngoài #phẫu thuật nội soi

Tài liệu tham khảo

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