外侧上髁炎合并桡骨隧道综合征手术失败的联合翻修手术技术

Q3 Medicine
William P Stults, Zachary C. Hanson, G. Lourie
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引用次数: 1

摘要

侧上髁炎折磨着很大一部分人,大多数人通过保守治疗康复。接受手术干预的5%至10%的患者结果喜忧参半。那些未能改善的患者通常表现为“血管成纤维细胞组织”清创术不充分、错过伴随的桡骨隧道综合征以及索引程序导致的医源性残余血管断流组织的复杂表现。为了解决所有3种失败原因,作者开发了一种翻修程序,包括重复清创残余肌腱炎、骨间后神经减压和血管化肘肌瓣,以帮助缓冲软组织缺陷,促进更健康的愈合环境。最初对20名患者进行了部分治疗,这种联合手术已发展成为我们对这些具有挑战性的患者的推荐治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A Combined Revision Surgical Technique for Failed Operative Lateral Epicondylitis With Concomitant Radial Tunnel Syndrome
Lateral epicondylitis afflicts a large percentage of the population with most recovering through conservative treatment. The 5% to 10% of patients who undergo operative intervention are met with mixed results. Those that fail to improve often demonstrate a complex presentation of inadequate debridement of the “angiofibroblastic tissue,” missed concomitant radial tunnel syndrome, and iatrogenic residual devascularized tissue resulting from the index procedure. To address all 3 of these causes of failure, the authors have developed a revision procedure that includes repeat debridement of residual tendinosis, decompression of the posterior interosseous nerve, and a vascularized anconeus muscle flap to help cushion soft tissue defects and promote a healthier environment for healing. Performed initially in part in 20 patients, this combined procedure has developed into our recommended treatment for these challenging patients.
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来源期刊
CiteScore
0.90
自引率
0.00%
发文量
54
期刊介绍: Techniques in Hand & Upper Extremity Surgery presents authoritative, practical information on today"s advances in hand and upper extremity surgery. It features articles by leading experts on the latest surgical techniques, the newest equipment, and progress in therapies for rehabilitation. The primary focus of the journal is hand surgery, but articles on the wrist, elbow, and shoulder are also included. Major areas covered include arthroscopy, microvascular surgery, plastic surgery, congenital anomalies, tendon and nerve disorders, trauma, and work-related injuries.
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