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S C Ghijsen¹, E Heeg¹, T Teunis²

¹Department of Plastic, Reconstructive, and Hand Surgery, University Medical Center Utrecht, Utrecht, The Netherlands.

Journal of wrist surgery

|May 29, 2024

概括

异型骨形成发生在55%的患者中,在1,2分区间上关节动脉 (1,2 ICSRA) 血管化骨移植后. 位置表明周骨带可能是一个因素,促使在手术期间考虑其大小.

科学领域:

整形外科手术整形外科手术
手术手术手术手术手术
骨移植技术骨移植技术

背景情况:

不同类型的骨质形成是1,2分区间上关节动脉 (1,2 ICSRA) 遥远半径血管化骨移植 (VBG) 后的一个报告不足的并发症.
了解影响异种类型骨形成的因素对于减轻这种不良事件在状骨非结合治疗中至关重要.

研究的目的:

为了确定与1,2 ICSRA远半径VBG后切除异型类骨形成相关的因素,用于骨非结合.

主要方法:

在2008-2019年期间,对42个与1,2 ICSRA VBG 治疗的状非结合体进行了回顾性审查.
对患者,骨折和治疗人口统计的分析,以与异型骨形成的相关性.
评估异型骨位置和切除的需要.

主要成果:

在55% (23/42) 的VBG中形成异型骨,其中12% (5/42) 需要切除.
所有异种类型的骨头都位于径向,在脚侧.
较长的随访时间是唯一与异型骨发育有显著关联的变量 (p=0.028).

结论:

不同类型骨的恒定的辐射位置表明与VBG中使用的周骨带有联系.
外科医生可能会考虑优化周骨带的尺寸,以潜在地防止在VBGs后异型骨化.

关键词:

1, 2 ICSRA 远半径移植不同类型的骨形成.型非结合性形体.血管化的骨头移植.

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