靠近部的回流 - :分析和治疗
Andrew G Georgiadis1, Nickolas J Nahm, Mark T Dahl
1From the Gillette Children's Hospital, Saint Paul, MN (Dr. Georgiadis, Dr. Nahm, and Dr. Dahl), and the Department of Orthopedic Surgery, University of Minnesota, Minneapolis, MN (Dr. Georgiadis, Dr. Nahm, and Dr. Dahl).
The Journal of the American Academy of Orthopaedic Surgeons
|December 13, 2023
概括
基因复发,近腰形变形,需要识别骨和带问题,以进行有效的治疗. 手术的选择范围从骨切除术到逐步正,旨在恢复膝盖功能和对齐.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 生物机械工程 生物机械工程
背景情况:
- 基因复发 - 原起源于近親骨,呈現複雜的治療挑戰.
- 病因包括肢体创伤,感染,瘤,奥斯古德-施拉特综合征,骨发育不良和带松.
- 成功的治疗需要解决骨和带对形的贡献.
研究的目的:
- 审查临床和放射性评估的真回复性-valgus.
- 描述相关的解剖相关的近端部形变形.
- 为了说明纠正 genu recurvatum-valgus 的五种手术技术.
主要方法:
- 图形规划,以确定真正的变形平面.
- 讨论了手术选择:表观生理学,引导生长,开口近端骨切除术,并通过外部或内部固定逐渐纠正.
- 区分基于变形大小和复杂性的方法.
主要成果:
- 开口靠近的骨切除术在真正的形平面上进行时,对较小的形是可靠的.
- 对于变形>25o,四肢缩短或多平面问题,建议使用外部固定进行逐步纠正.
- 成功的管理可以纠正膝盖过度伸展,后椎斜率和机械轴,恢复膝盖的生理负荷.
结论:
- 准确的评估和手术规划对于管理 genu recurvatum-valgus至关重要.
- 一系列的手术技术允许根据个体患者的因素进行量身定制的校正.
- 通过适当的手术干预,可以恢复膝盖对齐和功能.
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