修改的囊法技术在部发育性形的开放减少
Mohamed M H El-Sayed1, Mostafa E Hammad2, Ahmed M Khalifa3
1Department of Orthopaedic Surgery and Traumatology.
Journal of pediatric orthopedics
|June 13, 2023
概括
针对儿童部发育性形 (DDH) 的新型囊法技术是安全有效的. 这种方法改善了临床和放射性结果,在开放的减少程序中并发症率低.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 关节生物力学 关节生物力学
背景情况:
- 部发育性形 (DDH) 是一种常见的需要手术干预的疾病.
- 开放降解是DDH的一个关键程序,囊是关键步骤.
- 不充分的囊法可以导致DDH治疗的失败率更高.
研究的目的:
- 评估DDH新型囊法技术的临床和放射性结果.
- 评估在开放的减少程序中修改的囊的安全性和可靠性.
- 确定影响DDH手术功能结果和并发症的因素.
主要方法:
- 在462名患者中对540例DDH病例的回顾性审查 (2005年11月 - 2018年3月).
- 所有患者都接受了修改后的囊法技术,有或没有额外的骨盆/股骨手术.
- 术后进行了临床和放射性评估,随访时间为36个月至12年.
主要成果:
- 90.3%的患者在修改后的麦凯分数的基础上取得了良好到优秀的结果.
- 年轻的患者 (39个月以下) 显示出更好的功能结果.
- 在3年后的随访中,在骨指数和侧面中心边缘角度的显著改善被观察到.
- 靠近股骨生长障碍 (PFGD) 发生在92个部,与4级和5级相关的结果较差.
- 再位移发生在12次部,使用相同的技术进行修订.
结论:
- 这种新的囊法技术在DDH手术中是安全可靠的.
- 这种技术产生了有利的功能和放射性结果.
- 经过修改的囊法与DDH治疗中相对较低的并发症率有关.
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