用张力带板引导膝盖生长期间的体细胞迁移:植入物位置的影响
María Galán-Olleros1, Jaime Sánchez Del Saz2, Carlos Miranda-Gorozarri1
1Department of Orthopaedic Surgery and Traumatology, Hospital Infantil Universitario Niño Jesús.
Journal of pediatric orthopedics
|December 4, 2023
概括
使用张力带板 (TBPs) 引导生长期间的体细胞迁移是常见的,但不会导致体细胞异常. 避免将体螺丝放在体附近,以减少迁移风险.
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
- 增长板管理的管理.
背景情况:
- 在使用张力带板 (TBPs) 的引导生长过程中,体的迁移并未得到充分记录.
- 影响体迁移及其临床影响的因素尚不清楚.
研究的目的:
- 调查植入物定位对膝盖导向生长过程中的身体迁移风险的影响.
- 为了确定与肉体迁移相关的特定成像参数.
主要方法:
- 对491名接受TBP治疗的患者进行了回顾性分析,对膝盖周围的引导生长进行了指导 (2007-2019).
- 鉴定了29名身体迁移的患者,并将成像参数与对照组进行了比较.
- 在直接的术后放射图上测量了体螺丝体距离,角度和板体体角度.
主要成果:
- 在29名患者中发生了体细胞迁移,螺丝触摸,占用或穿过体细胞.
- 在病例和对照之间发现了体螺丝底部-体距离,尖端-体距离,体螺丝-体角度 (ES-PHa) 和板体角度的显著差异.
- 体螺丝的收位置 (靠近体) 与迁移风险的增加有关.
结论:
- 带有TBP的体细胞迁移是经常发生的,但在这个队列中没有导致体细胞异常.
- 收的体螺丝位置,特别是体附近的底部或尖端,增加了体迁移的风险.
- 手术技术的目的应该是避免合螺丝的放置,以最大限度地减少迁移.
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