由于大脑骨折而导致的小子变形的儿科病例
Kazuya Yamada1, Yuta Tsukagoshi2, Toru Hoshi1
1Department of Orthopaedic Surgery, Mito Saiseikai General Hospital, Ibaraki, Japan.
JMA journal
|November 9, 2023
概括
一个患有骨头骨折的儿科肘部形变形病例突出显示,靠近腰部的形可能不会重塑. 修正性骨切除术被证明是有效的,但建议早期减少和固定以防止位移.
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
- 儿科创伤儿童创伤
背景情况:
- 肘部变形可能是儿科前臂骨折的结果.
- 儿童骨头骨折可能导致持续的角形变形.
- 非重塑的近端部形会影响四肢功能和外观.
研究的目的:
- 报告一个儿科病例的 cubitus varus 变形继发于剪切的骨头骨折.
- 为了评估纠正性骨切除术对于未重塑的近端部形的有效性.
- 讨论儿科骨头骨折与相关的角形变形的治疗策略.
主要方法:
- 一个8岁男孩的案例介绍,他的肘部和骨头骨折.
- 最初的封闭缩减和造,然后观察重塑.
- 在受伤后一年进行了正性骨切除术的手术干预.
- 在骨切割术后临床评估承载角度,角,疼痛和运动范围.
主要成果:
- 尽管初始造,但患者出现了显著的肘部形变形.
- 纠正性骨切除术成功地解决了形变形.
- 术后评估显示,与对侧侧相比,角度差异很小,没有疼痛或运动有限.
- 靠近骨的冠状平面变形并没有自发地重塑.
结论:
- 儿科骨头骨折中的近端部形可能无法重塑,可能需要手术纠正.
- 纠正性骨切除术是一种有效的治疗儿科肘部形变形的方法.
- 早期,准确的减少和潜在的内部固定对于防止重新移位和改善儿科骨头骨折的结果至关重要.
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