在膝盖周围感染后的骨条后果:自然史和冠状平面形
1Department of Paediatric Orthopaedics, Chacha Nehru Bal Chikitsalaya, Geeta Colony, Delhi, 110031, India.
Journal of clinical orthopaedics and trauma
|July 24, 2023
概括
在儿童中,感染后的肢体棒会导致角形变形. 治疗方式因伤痕类型和严重程度而异,包括对外围伤痕的早期干预,以及对严重病例的手术选择.
科学领域:
- 儿科整形外科 儿科整形外科
- 骨发育不良症 骨发育不良症
- 儿童传染病 儿童传染病
背景情况:
- 对17名儿童 (18个四肢) 的回顾性研究,在膝盖周围出现了感染后的肢体条.
- 在败血症后可提供至少2年的随访,平均随访时间为6.9年.
- 体条的形成发生在败血症后平均22.6个月.
研究的目的:
- 分析不同类型的感染后体质棒的特征和结果.
- 评估各种治疗方法的有效性,以治疗由肉杆引起的角形变形.
- 为了识别相关的关节异常和影响治疗计划的因素.
主要方法:
- 对儿科病例的回顾性分析,这些病例在感染后出现了骨条.
- 酒吧被分为外围,中央和广泛的类型.
- 关于角形变形进展率和治疗干预措施的文档.
主要成果:
- 角形变形的进展率因条形类型而异 (0.84°/月为外围,0.1°/月为中心,0.26°/月为广泛).
- 外围需要早期干预;对面的"8"板对于部分是有用的.
- 对于广泛的棒/老年患者,使用了完整的形切除和四肢长度均等.
- 在80%的酒吧中存在关节异常 (,平,小),特别是新生儿感染.
结论:
- 不同的体条类型表现出不同的特征和变形模式.
- 外围条与最显著的角形变形有关,需要早期干预.
- 关节异常很常见,特别是在新生儿感染的情况下.
- 治疗计划必须考虑整体体质健康,延迟表现和潜在的四肢长度差异.
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