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臂叢神經(jīng)移位進展ppt課件(編輯修改稿)

2025-03-20 11:50 本頁面
 

【文章內(nèi)容簡介】 2) 100:117119.Page ? 11全臂叢損傷后神經(jīng)移位術的新觀點:2 伸肘功能的修復 — 維持肘關節(jié)的穩(wěn)定性用至少兩根肋間神經(jīng)移位至三頭肌支 Narakas, A., and Hentz, V. Neurotization in brachial plexus injuries: Indications and results. Clin. Orthop. 237: 75, 1988.JK Terzis The Surgical Treatment of Brachial Plexus Injuries in Adults. Plast. Reconstr. Surg. 119: 73e, 2022伸肘比屈肘功能更難恢復Page ? 12嘗試對原有觀點的突破臂叢修復后幾乎所有的相關報道顯示肩外展、外旋以及伸肘伸腕伸指功能恢復較差Narakas and Hentz等人認為這一現(xiàn)象和胚胎學相關,抓握的功能對于生存比較重要Page ? 13神經(jīng)移位術發(fā)展的趨勢 近靶器官移位 —Close Target Neurotization Closetarget neurotisation (CTN): 1. a direct coaptation at a more distal site, closer to the targets,muscle or skin,2. without the need for nerve graft3. faster recovery of motor and sensory outes. . ChuangDCC Chuang. Brachial plexus reconstruction based on the newdefinition of level of injury. Injury, Int. J. Care Injured (2022) 39S, S23—S29Page ? 14神經(jīng)移位術發(fā)展的趨勢 要求:高選擇性(符合神經(jīng)移位的原則)1 純運動支 純運動支效果更佳Normally the aim is to restore motor function, but in any case sometimes also sensibility can be restored, as we see below. So it is important to utilize a pure motor . Novelli, A. Gilbert2 盡量靠近靶肌肉 縮短再生距離C. Novelli, A. Gilbert. Neurotizations in Brachial Plexus Injuries:Ne
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