靠近大腿骨指导成长:一个系统性审查
Joshua C Tadlock1, Michael D Eckhoff1, Hunter R Graver1
1William Beaumont Army Medical Center, Department of Orthopedic Surgery & Rehabilitation, 5005 N. Piedras Street, El Paso, Texas.
Journal of surgical orthopaedic advances
|May 30, 2024
概括
靠近大腿骨的引导生长有效地纠正儿童的骨,改善关节对齐,防止部脱,特别是在脑患者中. 这种微创手术显示出显著的放射性改善.
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:
- 患有脑 (CP) 和无血管 (AVN) 的儿童在发育后关节张力症 (DDH) 治疗后容易发生.
- Coxa valga可以导致部不稳定和疼痛,影响运动能力.
- 靠近大腿骨导向生长 (PFGG) 提供了一种最少的侵入性手术方法.
研究的目的:
- 系统地审查近端大腿骨导向生长 (PFGG) 在纠正骨的疗效.
- 评估放射性结果,手术变量和与PFGG相关的并发症.
- 评估PFGG对脑和横向过度生长的儿童的影响.
主要方法:
- 系统审查报告PFGG用于骨治疗的研究.
- 放射性参数的分析,包括迁移百分比和部轴角.
- 包括179个部的人口,手术和并发症数据.
主要成果:
- PFGG在迁移百分比 (p < 0.0001) 和部轴角 (p < 0.0001) 中显著改善.
- 这项手术对117名CP儿童和62名横向过度生长的儿童进行,平均年龄为8.1岁.
- 最常见的并发症是体外螺丝生长 (30%).
结论:
- PFGG是一种有效的技术,用于纠正coxa valga和改善儿科患者的放射性参数.
- 这种方法可以防止CP的儿童进一步部脱.
- PFGG调节靠近大腿骨的生长,影响骨发育和纠正形形.
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