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骨内线错位后四肢长度不一致:一个案例报告

Rebekah M Kleinsmith¹, Heather Kowalski²

¹Department of Orthopaedic Surgery, TRIA Orthopaedic Center, Bloomington, Minnesota.

JBJS case connector

|March 14, 2024

概括

在儿童中,骨内线的放置可能会导致肢体长度差异,这是由于骨损伤. 通过自身脂肪移植进行手术纠正可以帮助解决这种增长停滞.

科学领域:

儿科整形外科儿科整形外科
骨的生长和发展.
创伤管理创伤管理

背景情况:

骨内线的安置是儿科紧急情况中的一个关键程序.
骨内线的错位可能导致iatrogenic体质损伤.
体损伤导致的生长停止会导致肢体长度显著不一致.

研究的目的:

为了呈现肢体长度差异在内骨线放置后出现的情况.
描述一条小腿骨骨巴的手术管理.
评估自身脂肪转移在纠正生长停滞方面的疗效.

主要方法:

一个6岁女孩的案例介绍,肢体长度有3厘米的差异.
图像分析显示左侧靠近的小腿骨骨条.
用自性脂质移植切除肉体条的手术切除.

主要成果:

经过10个月的术后随访显示,腿长度差异稳定为3厘米.
左骨显示间隔长度增加与相反侧面成比例.
发现了关节对齐的增加,需要持续监测.

结论:

儿科骨内线放置带有体损伤和随后的生长停止的风险.
手术干预,包括肢体条切除和脂质移植,可以解决阴性肢体长度差异.
长期监测对于管理剩余对齐问题至关重要.

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