Internal brace

内部撑杆
  • 文章类型: Case Reports
    孤立的哈姆脱位是一种罕见的病例,具有潜在的破坏性并发症,考虑到受伤后腕骨的不稳定性。以前在文献中已经报道过这种情况,其结构和结果各不相同,但从未进行过内部支撑结构和早期康复。
    一名26岁的男性在一次全地形车事故中左手受伤。在最初的误诊和随后的持续性疼痛之后,他被诊断出患有慢性背甲脱位。进行了切开复位和内支具固定,从而实现了解剖和稳定的复位。通过最后的后续访问,患者在接近全范围的活动中没有疼痛,并以良好至优异的结果评分恢复工作.
    利用内部支撑技术进行韧带重建的切开复位术提供了腕间和腕掌韧带的稳定固定和解剖修复。与先前描述的方法相比,这是一种可行的治疗方法,可以实现早期康复,并且可能会产生良好至出色的结果。
    UNASSIGNED: Isolated hamate dislocation is a rare case with potentially devastating complications, given the resultant instability of the carpus following the injury. This has been reported in the literature before with varying constructs and varying results but never with an internal bracing construct and early rehabilitation.
    UNASSIGNED: A 26-year-old male injured his left hand in an all-terrain vehicle accident. After initial misdiagnosis and subsequent persistent pain, he was diagnosed with a chronic dorsal hamate dislocation. An open reduction and internal brace fixation were performed resulting in an anatomic and stable reduction. By the final follow-up visit, the patient had no pain with near full range of motion and had returned to work with good to excellent outcome scores.
    UNASSIGNED: Open reduction with ligament reconstruction utilizing an internal bracing technique provides a stable fixation and anatomic repair of the intercarpal and carpometacarpal ligaments. This is a feasible treatment option for hamate dislocations that allows for early rehabilitation in comparison to previously described methods and may result in good to excellent outcomes.
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  • 文章类型: Case Reports
    背景:股四头肌腱断裂(QTR)是一种罕见的临床疾病,通常由健康人的间接损伤引起。此外,自发性和双侧破裂可发生在有诱发因素的患者中,如内分泌或风湿性疾病。目前,已经提出了几种QTR修复技术;然而,关于最佳修复技术尚无共识。
    方法:一名因肾小球肾炎继发肾功能衰竭的55岁男性患者出现自发性双侧股四头肌腱断裂。基于无结缝合锚钉和内部支架,采用新型双排缝合桥配置手术入路治疗患者.在11个月的随访中,病人保持了良好的功能,Lysholm双膝得91分.
    结论:该技术可能是修复股四头肌肌腱断裂的有效方法。
    BACKGROUND: Quadriceps tendon rupture (QTR) is a rare clinical condition often caused by indirect injury in healthy people. In addition, spontaneous and bilateral ruptures can occur in patients with predisposing factors, such as endocrine or rheumatic disease. Currently, several QTR repair techniques have been proposed; however, no consensus exists about the best repair technique.
    METHODS: A 55-year-old man with renal failure secondary to glomerulonephritis suffered from spontaneous bilateral quadriceps tendon ruptures. Based on a knotless suture anchor and internal brace, a novel double-row suture-bridge configuration surgical approach was used to treat the patient. At 11-month follow-up, the patient maintained excellent function, with a Lysholm score of 91 for both knees.
    CONCLUSIONS: This technique may be an effective method for repairing ruptured quadriceps tendons.
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  • 文章类型: Journal Article
    前交叉韧带(ACL)重建手术已被证明与移植物愈合过程密切相关,手术后可持续12个月。近年来,通过各种生物力学和临床研究,内部支撑韧带增强(IBLA)已被证明可以在术后早期阶段保护移植物并改善ACL重建的结果。我们介绍了使用半腱肌腱自体移植物用IBLA进行全内部关节镜前交叉韧带重建的一系列病例,目的是评估术后临床和患者报告的结局。
    共有37例患者接受关节镜下IBLA全内重建前交叉韧带,仅使用半腱肌腱自体移植,进行了评估,在患者报告的结果和临床评估方面,在术后3、6和12个月的随访期间。结果:最终随访时Lysholm膝关节的平均评分为94,03+-3,65,与基线水平的差异为34,59+-5,52。国际膝关节文献委员会(IKDC)分级评定了30例A级和7例B级。所有病人都恢复正常,未发现再破裂或其他严重并发症。
    早期随访患者报告的结果为37例患者提供了良好的效果,这些患者使用半腱肌腱自体移植进行了全内关节镜下IBLA前交叉韧带重建,并且没有发现移植失败或其他明显并发症。临床研究结果表明,在早期阶段改善了膝关节的完整性和运动范围,这可能会促进早期康复,然而,未来的长期比较研究是需要的。
    仅使用半腱肌自体移植物进行全内ACL重建的IBLA提供了良好的效果,未来需要进行长期的比较研究。
    UNASSIGNED: Anterior Cruciate Ligament (ACL) reconstruction surgery has been proven to be closely related to the graft healing process, which can last up to 12 months after surgery. In recent years, through various biomechanical and clinical studies, Internal Brace Ligament Augmentation (IBLA) has been shown to protect the graft during these early postoperative stages and improve the outcome of ACL reconstruction. We present this case series of all-inside arthroscopic anterior cruciate ligament reconstruction with IBLA using semitendinosus tendon autografts, with the goal of evaluating postoperative clinical and patient-reported outcomes.
    UNASSIGNED: A total of 37 patients who underwent all-inside arthroscopic anterior cruciate ligament reconstruction with IBLA using only semitendinosus tendon autografts, were evaluated, in terms of patient reported outcome and clinical assessment, during the 3, 6 and 12 months post-operative follow-up. Results: The mean Lysholm Knee score at the final follow-up was 94,03 +- 3,65 with a difference of 34,59 +- 5,52 to the baseline level. International Knee Documentation Committee (IKDC) classification rated 30 cases of grade A and 7 cases of grade B. In terms of clinical tests and knee\'s range of motion, all patients have returned to normal, and no cases of re-rupture or other severe complications were found.
    UNASSIGNED: Early follow-up patient reported outcomes have provided good to great results for the 37 patients who underwent all-inside arthroscopic anterior cruciate ligament reconstruction with IBLA using semitendinosus tendon autografts and no cases of graft failure or other notable complication has been discovered. Clinical findings suggest improved knee\'s integrity and range of movement during the early stages, which may promote early rehabilitation, however future long-term comparative studies are needed.
    UNASSIGNED: IBLA with all-inside ACL reconstructions using only semitendinosus autograft has provided good to great results however, future long-term comparative studies are needed.
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  • 文章类型: Case Reports
    这是一例40岁的男性,患有III型左膝脱位并伴有腓骨神经麻痹,对其多韧带膝关节损伤(MKI)进行了延迟的同种异体移植重建,并进行了内部支撑术。患者在术后6个月恢复工作。然后,他跌倒并在外侧副韧带(LCL)重建的内部支架增强部位承受了移位的左股骨髁上骨折,为此他接受了逆行股骨钉的放置。在2年的随访中,患者没有膝关节不稳定的证据。证据级别:V.
    This a case report of a 40-year-old male with left knee dislocation Type III and associated peroneal nerve palsy underwent delayed allograft reconstruction of his multiligament knee injury (MKI) with Internal Brace augmentation. The patient returned to work at 6 months postoperatively. He then fell and sustained a displaced supracondylar left femur fracture at the site of the internal brace augmentation of his lateral collateral ligament (LCL) reconstruction for which he underwent placement of a retrograde femoral nail. At 2 years of follow-up the patient had no evidence of knee instability. Level of evidence: V.
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  • 文章类型: Journal Article
    OBJECTIVE: To mitigate the risk of poor wound healing and of infection associated with the open repair of Achilles tendon midsubstance ruptures, minimally invasive techniques have been developed. We report our preliminary results after reviewing our \"jigless knotless internal brace technique.\"
    METHODS: Patients were placed in prone position and a transverse 3-cm incision was made proximal to the palpable ruptured end. The proximal ruptured end was pulled out, gently debrided, and sutured using Krackow locking loops. Percutaneous sutures were crisscrossed through the distal tendon stump and looped around the Krackow sutures over the proximal stump. The ipsilateral Krackow sutures and the contralateral crisscrossed sutures were subcutaneously passed through two mini-incisions over the posterior calcaneus tuberosity and seated at the tuberosity with two 4.5-mm knotless suture anchors. All patients underwent the same post-operative rehabilitation protocol and regular follow-ups for at least 1 year.
    RESULTS: We recruited 10 patients (mean age, 37.3 years) who scored 100 points on the American Orthopaedic Foot and Ankle Society (AOFAS) scale, and who returned to their preoperative exercise levels 1-year post-operatively with no complications.
    CONCLUSIONS: Our method is simple, effective, and requires no special tools. It might be a reliable option for Achilles tendon repair.
    METHODS: III.
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