Wide Awake Secondary Tendon Reconstruction
Wide Awake Secondary Tendon Reconstruction
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DOI：
10.1016/j.hcl.2018.08.004
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发表时间：
2019-02-01
期刊：
影响因子：
1.1
通讯作者：
Chang, James
中科院分区：
文献类型：
--
作者：
Gao, Lin Lin;Chang, James
大觉醒麻醉技术是二期肌腱重建术的有效手段。在患者的积极参与下，肌腱修复可以适当调整，防止修复过紧或过松。肌腱疤痕或触发的区域可以被识别和松解。积极参与的其他好处包括减少缝隙，确保足够的修复强度，以及避免肌腱失衡。最后，它允许术中对病人进行教育，因此可以提高病人的满意度。本文讨论了该技术如何应用于肌腱松解术、二期肌腱重建和肌腱移位术。
The wide awake anesthesia technique is a useful tool in secondary tendon reconstruction. With active participation of the patient, the tendon repair can be adjusted appropriately to prevent repairs that are too tight or too loose. Areas of tendon scarring or triggering can be identified and released. Other advantages of active participation include reduction of gapping, ensuring adequate strength of repair, and avoiding tendon imbalances. Last, it allows intraoperative patient education and may therefore increase patient satisfaction. This article discusses how the technique can be applied to tenolysis, 2-stage tendon reconstruction, and tendon transfer.