创伤后的Cubitus Varus:尊重这些柱子
Adam M Schlauch1, Mary Claire Manske2,3, Holly B Leshikar2,3
1Department of Orthopaedic Surgery, San Francisco Orthopaedic Residency Program/St. Mary's Medical Center, San Francisco.
Journal of pediatric orthopedics
|March 22, 2024
概括
防止创伤后肘变形,一个复杂的肘部形从骨骨折,需要稳定的3列远端骨缩小. 早期识别和适当的骨折管理是避免这种情况的关键.
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
- 创伤学 创伤学 创伤学
背景情况:
- 创伤后肘 (cubitus varus) 是一种多平面肘部形.
- 它通常是由于儿童治疗不充分的骨骨折造成的.
- 这种变形会影响冠状,斜面和轴面.
研究的目的:
- 为了阐明创伤后肘部变形的特定变形模式.
- 总结一下这种情况的有效预防策略.
- 审查和说明手术纠正方法,包括骨切除术.
主要方法:
- 远端骨骨折的生物力学原理的审查.
- 基于骨折柱不稳定的变形进展的分析.
- 校正性骨切除术的插图和基于案例的审查.
主要成果:
- 不完全的缩减或偏骨柱的不良旋转会导致大肘.
- 这三个柱子的稳定固定对于预防至关重要.
- 各种骨切除术可以有效地纠正已有的形.
结论:
- 了解 cubitus varus 的多平面性质对于预防至关重要.
- 远端手腕的稳定解剖缩小是预防的基石.
- 通过骨切除术进行手术纠正为这种形提供了可行的治疗选择.
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