[微创缝合锚钉技术治疗肱二头肌远端肌腱断裂的临床结果]。

A Schmidt, K Johann, M Kunz
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引用次数: 2

摘要

目的:肱二头肌远端肌腱断裂应采用手术治疗。微创技术和缝合锚钉的使用可降低术中风险。但能否取得满意的临床效果呢?方法:我们报告一项临床研究的结果。1999年至2005年间,9例患者接受了肱二头肌腱远端撕脱术。建立了一种微创手术技术,使用缝合锚并描述了该技术。Rantanen和Orava的评分用于比较临床和放射学表现。结果:术后6个月进行临床随访。根据Rantanen和Orava, 6例患者获得了良好的结果。9例中有6例未见力量丧失。6例患者活动范围无限制。在两个病例中,我们发现异位骨化。结论:根据我们的研究结果,我们建议使用缝合锚钉进行微创手术。所描述的技术导致的结果与文献中发现的结果相当。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Operative treatment of ruptures of distal tendon of biceps muscle with a minimally invasive technique using suture anchors--clinical results].

Aim: Ruptures of the distal tendon of the biceps muscle should be treated operatively. A minimally invasive technique and the use of suture anchors may decrease the intraoperative risks. But can satisfactory clinical results be achieved?

Method: We present the results of a clinical study. Between 1999 and 2005 nine patients were operated for distal biceps tendon avulsion. A minimally invasive operating technique using a suture anchor was established and the technique is described. Rantanen and Orava's score was used to compare clinical and radiological findings.

Results: Clinical follow-up was performed at 6 months after operation. In six patients excellent results according to Rantanen and Orava were achieved. No loss of strength was noticed in 6 of 9 cases. Range of motion was unlimited in six patients. In two cases we found heterotopic ossifications.

Conclusion: On the basis of our results we suggest that minimally invasive surgery using a suture anchor should be performed more often. The technique described leads to results that are comparable to those found in the literature.

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