技术技巧：用关节镜内固定治疗可怕三联征伴桡骨头骨折的冠状骨骨折“套索”修复。

IF 1.8 3区医学 Q3 ORTHOPEDICS

Journal of Orthopaedic Trauma Pub Date : 2025-08-01 DOI:10.1097/BOT.0000000000002982

Andrew S Bi, Carolyn Herbosa, Matthew V Abola, Sanjit R Konda, Jadie De Tolla, Abhishek Ganta

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引用次数: 0

摘要

摘要：在认为桡骨头适合修复而非关节成形术的情况下，通过外侧入路采用关节镜下器械辅助冠状面骨折复位对可怕的三联征损伤进行一期手术修复。使用关节镜缝合套索、可调节钻孔导向、带镍钛诺穿梭钢丝的空心导向针和悬吊皮质按钮，可以更精确、更简便地“套索”固定可怕的三联征损伤中冠状骨骨折和前囊损伤完整的桡骨头。

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Technical Trick: Coronoid Fracture "Lasso" Repair Using Arthroscopic Instrumentation in Terrible Triad Injuries With Fixable Radial Head Fractures.

Summary: A single-stage operative repair of terrible triad injuries through a laterally-based approach using arthroscopic instrument-assisted reduction of the coronoid fracture in cases in which the radial head is deemed appropriate for repair rather than arthroplasty is described in this technical trick. Using an arthroscopic suture lasso, adjustable drill guides, cannulated guide-pins with nitinol shuttling wires, and a suspensory cortical button allow for a more precise and facile technique of "lasso" fixation of coronoid fractures and anterior capsular injuries with intact radial heads in terrible triad injuries.

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来源期刊

Journal of Orthopaedic Trauma 医学-运动科学

CiteScore

3.90

自引率

8.70%

发文量

396

审稿时长

3-8 weeks

期刊介绍： Journal of Orthopaedic Trauma is devoted exclusively to the diagnosis and management of hard and soft tissue trauma, including injuries to bone, muscle, ligament, and tendons, as well as spinal cord injuries. Under the guidance of a distinguished international board of editors, the journal provides the most current information on diagnostic techniques, new and improved surgical instruments and procedures, surgical implants and prosthetic devices, bioplastics and biometals; and physical therapy and rehabilitation.