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在Masada IIb遗传多重外口症中严重反复性前臂形的单骨前臂手术

Mandar Vikas Agashe¹, Mudit Shah¹, Ashima Choudhry²

¹Dr. Agashe's Maternity and Surgical Nursing Home, Vrindavan Building, Junction of LBS Marg, Andheri-Kurla Rd, Wadia Colony, Kurla, Mumbai, 400070 India.

Indian journal of orthopaedics

|October 26, 2023

概括

一个骨前臂 (OBF) 手术有效地治疗严重前臂形在遗传多重外位症 (HME) 马萨达IIB患者. 这种重建程序改善了临床和放射学的结果,为受影响的个体提供更快的恢复功能.

科学领域:

整形外科整形外科整形外科
遗传学是一个遗传学.
儿科手术儿科手术

背景情况:

遗传性多重外 (HME) 马萨达IIB呈现严重的前臂形.
传统的治疗方法,如渐进的节延长,对于的辐射头具有有限的疗效.
一骨前臂 (OBF) 是一种重建选择,对HME的文献有限.

研究的目的:

评估OBF作为HME Masada IIB患者严重前臂形的最终程序的短期临床和放射性结果.
评估OBF在应对显著的节缩短和辐射头部脱位方面的有效性.
在这个特定的患者队列中确定OBF后的功能恢复和复发率.

主要方法:

对四名HME Masada IIB患者进行了回顾性研究,这些患者患有严重前臂形.
对OBF的指示包括缩大于3厘米,半径异形与凸起的辐射头,以及受限的前.
使用彼得森的结局得分进行术前和术后的临床和放射性评估.

主要成果:

平均随访时间为30.25个月,没有复发.
观察到的显著改善:平均手腕滑动从79.5%减少到15%,辐射关节角度从47.5°改善到22.5°.
手术后的功能结果包括平均肘部曲率为110°和彼得森功能等级为8分.

结论:

单骨前臂 (OBF) 建议作为HME Masada IIB患者的最终治疗方法,这些患者有严重的前臂形.
OBF有效地纠正显著的节缩短,并解决有异位的辐射头的异位性近接半径.
这种手术有助于在HME Masada IIB前臂形患者中更快地恢复功能.

关键词:

遗传性多发性外静止症 (英语:hereditary multiple exostosis) 是一种遗传性多发性外静止症.马萨达分类的分类方式一个骨头前臂前臂.

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