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在德加骨盆骨折术中,手术内中间壁的破坏:它是否会影响中期的放射性结果?

Murat Danişman¹, Rıza Mert Çetik¹, Ozan Tuncay¹

¹From the Department of Orthopedics and Traumatology (Danişman), Giresun University, Giresun; from the Department of Orthopedics and Traumatology (Çetik), Sandıklı State Hospital, Afyon; and from the Department of Orthopedics and Traumatology (Tuncay, Yilmaz), Hacettepe University, Ankara,Turkey.

Saudi medical journal

|July 18, 2023

概括

在Dega骨切割过程中中介壁的破坏并没有对放射性结果或患者结果产生负面影响. 这一发现表明,当Dega骨切除术中发生中间壁破坏时,手术技术的修改是不必要的.

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
放射性分析放射性分析

背景情况:

部发育性形 (DDH) 通常需要手术干预.
德加骨盆骨切除术是治疗DDH的一种常见的手术技术.
中间壁的破坏是Dega骨切割过程中的潜在并发症.

研究的目的:

为了比较经过Dega骨切除术的患者的X射线结果,其中介面壁中断或没有中断.
评估中介壁破坏对骨指数 (AI) 和长期纠正的影响.

主要方法:

对于95只用Dega骨切除术治疗DDH的部进行了回顾性审查.
患者被分为两组:中间壁破坏 (A组) 和没有破坏 (B组).
在手术前,手术后,12周和最后一次随访时分析AI变化的前后盆腔X射线图.

主要成果:

在任何时间点 (手术前,手术后,12周,最后的随访) 中,两组之间无显著差异.
在手术和随访期间在两组中都实现了可比的放射性校正.
在91%的中介壁破坏患者和90%没有中介壁破坏的患者中取得了优异或良好的结果 (p=0.944).

结论:

在Dega骨切割过程中中介壁的破坏不会显著损害放射性校正.
介面壁的完整性不是在Dega骨折术中取得成功的放射性结果的关键因素.
这项研究支持继续使用Dega骨切除术,即使偶尔出现中间壁破坏.

关键词:

德加骨盆骨质切除术 (Dega pelvic osteotomy) 是一个非常简单的方法.部发育性形部发育性形在手术期间出现的并发症.

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