下肢形纠正后复发的预测因素 在低形形症中,下肢形纠正后复发的预测因素
Chayut Suparatchatadej1, Nath Adulkasem1, Thanase Ariyawatkul1
1Department of Orthopaedic Surgery, Faculty of Medicine Siriraj Hospital, Mahidol University, 2 Prannok Road, Bangkoknoi, 10700, Bangkok, Thailand.
Journal of orthopaedic surgery and research
|July 7, 2023
概括
10岁以下的儿童接受手术以治疗低血性恶心病变形有更高的复发风险. 逐渐纠正与hemiepiphysiodesis也可能增加复发风险,帮助早期干预策略.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科内分泌学 儿科内分泌学
- 手术研究的研究.
背景情况:
- 严重的下肢形在低酸性狂犬病往往需要手术干预.
- 手术后形的高复发率需要确定预测因素.
- 关于预测手术纠正后变形复发的因素的研究有限.
研究的目的:
- 为了确定下肢形复发的预测因素,在低形形中进行手术后正.
- 分析已识别的预测因素对形复发的影响.
- 改善早期识别,干预和预防复发性形.
主要方法:
- 对16名接受了整形骨切除术的患者 (5-20岁) 的回顾性评估.
- 收集人口统计,生化和放射数据.
- 无变Cox比例危险分析和Kaplan-Meier估计用于复发预测.
主要成果:
- 手术时年龄小于10岁与明显更高的复发风险相关 (HR5.5,p=0.04).
- 使用hemiepiphysiodesis逐渐纠正显示出更高的复发率 (HR 7.0,p=0.03).
- 卡普兰-梅尔分析证实了10岁以下和10岁以上的患者之间复发的显著差异 (p=0.02).
结论:
- 在手术时的年龄小于10岁是下肢形复发的重要预测因素.
- 逐渐纠正与hemiepiphysiodesis可能是一个导致复发的因素.
- 识别这些预测因素可以进行有针对性的干预,以防止反复出现的形.
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