通过一个独特的病例了解赞科利-拉索适应症和手术技巧。

IF 0.6 Q4 SURGERY

International Journal of Surgery Case Reports Pub Date : 2024-10-26 DOI:10.1016/j.ijscr.2024.110499

Hakam Alasaad, Doried Diri, Sedra Abou Ali Mhana

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引用次数: 0

摘要

导言：前臂撕裂伤可能导致灾难性的残疾，尺神经损伤导致严重的手部畸形和功能障碍，几乎没有修复方案：前臂撕裂伤可能导致灾难性的残疾，以尺骨神经为首的神经损伤会导致严重的手部畸形和功能障碍，而且几乎没有修复的选择：一名年轻男性因尺骨远端神经损伤而在两年内接受了多次手术。Zancolli-Lasso手术后，情况大有好转：讨论：爪形手的综合治疗方法至关重要，柔软活动的关节和 Bouvier 手法是最重要的决定性因素：结论：Zancolli手术对于顺应性强的爪状手患者来说是一种简单可行的治疗方法，患者可以适应较弱的夹钳。

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

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.