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使用单边外部固定器逐步纠正骨形变形

D P Motta¹, Jlr Faria², A Couto³

¹Center for Specialized Care of the Treatment Area of Dysmetry and Deformities of the Locomotor System, National Institute of Traumatology and Orthopedics, Rio de Janeiro, Brazil.

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概括

这项研究审查了用单侧外部固定器治疗的骨形变形患者. 该技术实现了令人满意的角度校正,与现有的文献方法可比.

科学领域:

整形外科手术整形外科手术
肢体的重建肢体的重建
生物机械纠正生物机械纠正

背景情况:

骨的形变形会对肢体机械和功能产生重大影响.
渐进的纠正技术对于管理复杂的部形是必不可少的.
单边外部固定器为肢体对齐校正提供了一种多功能方法.

研究的目的:

评估使用单边外部固定器逐步纠正骨形变形的疗效.
评估与这种特定的手术技术相关的结果和并发症.

主要方法:

在2012年至2022年期间接受治疗的骨形变形患者 (10-70岁) 的回顾性评估.
纳入标准侧重于冠状平面部形变形,易于逐步纠正.
排除标准涉及混性形,皮肤状况和数据不足.

主要成果:

观察到平均年龄为30.8岁,BMI为26.1公斤/平方米.
在58.3%的病例中,发现了先天性/发育性病因,平均变形为14.7度.
外部固定器的时间平均为149.7天,手术前后有显著的角度校正 (p ≤0.05).
这些并发症包括针部位感染 (5),皮质骨折 (2) 和经神经神经过敏 (1).

结论:

使用单边外部固定器逐渐纠正骨形变形,可以获得令人满意的角纠正.
这种技术的结果与现有文献中报告的结果相似.
该方法提供了一个可行的选择,用于纠正可控的并发症率的骨形变形.

关键词:

外部固定方式外部固定方式一个单边的单边.骨切除术 (osteotomy) 是一个骨切除术.Tibia 变形的变形 .瓦尔古斯 (Valgusgus) 是一种有价值的物质.

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