射线辐射的结果与肋袖骨切除的射线纵向缺陷:一个中期后续研究
Anil K Bhat1, Mithun Pai G1, Ashwath M Acharya1
1Department of Hand Surgery, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
The Journal of hand surgery, European volume
|July 4, 2023
概括
这项研究报告了对儿童放射性纵向缺陷的关节骨切除术的辐射. 该手术实现了显著的前臂手腕对齐校正,并保持了节生长,提供了可行的长期解决方案.
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
- 肢体的变形 肢体的变形
背景情况:
- 半径纵向缺陷在前臂手腕对齐方面存在挑战,原因是软组织和骨发育.
- 长期纠正需要有效地解决变形应力.
研究的目的:
- 评估中期随访结果的辐射结合手臂骨切除术在儿科患者.
- 评估该技术在纠正前臂手腕的调整和维持节生长方面的有效性.
主要方法:
- 一组17名患有放射性纵向缺陷的患者 (21个四肢) 接受了手袖骨切除术的辐射治疗.
- 随访数据是在平均66个月 (范围为50-96个月) 收集的.
- 测量包括手前臂的角度和位置,以及与相反侧面相比的肘部生长.
主要成果:
- 在最后的随访时,手前臂角的平均校正为51°.
- 手前臂位置从手术前的-1.1厘米改善到手术后的+1.3厘米.
- 甲基细胞骨切除术有效放松了辐射结构,平均肘部生长达到对侧侧的62%.
结论:
- 随着腰椎骨切除的辐射是纠正儿童辐射纵向缺陷的一种可行的手术解决方案.
- 这种技术显示了防止形复发的潜力,同时在中长期内保持节生长.
相关概念视频
01:09Bones of the Upper Limb: Radius
2.3K
The radius is longer of the two bones that make up the human antebrachium or forearm. At the proximal end, the radius articulates with the capitulum of the humerus and the radial notch of the ulna to form the elbow joint. At the distal end, the radius articulates with the ulna via the ulnar notch, forming the distal radioulnar joint. Distally, the radius also attaches to the carpal wrist bones (scaphoid and lunate) to form the radiocarpal joint.
The radius has a nail-shaped head, and a...
The radius has a nail-shaped head, and a...
2.3K
01:15Bones of the Upper Limb: Ulna
2.3K
The ulna and radius are parallel bones of the antebrachium or the forearm. The ulna lies medially and consists of a bony tip called the olecranon process at its proximal end. This hook-like projection articulates with the olecranon fossa of the humerus and forms the "hinged" ulnohumeral part of the elbow joint. This joint facilitates forearm extension and flexion while preventing its hyperextension. Similarly, the coronoid process, another bony projection on the proximal/anterior side...
2.3K