[儿童期偏远半径的创伤后生长障碍]
Peter P Schmittenbecher1, Peter Laier2
1Klinik für Kinderchirurgie, Städtisches Klinikum GmbH, Karlsruhe, Deutschland. pschmb@t-online.de.
Unfallchirurgie (Heidelberg, Germany)
|August 12, 2024
概括
儿童的远距离半径骨折很少导致生长问题. 纠正性手术,通常使用手掌板骨质合成,在大多数情况下成功地恢复功能和外观.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿童创伤外科手术
- 骨的生长和发展.
背景情况:
- 距离半径骨折在儿童中很常见.
- 显著的生长障碍是这些骨折的罕见后果.
研究的目的:
- 介绍和讨论15年的经验,以纠正骨切除术的创伤后远距离半径生长障碍.
- 分析手术干预的临床和放射性结果.
主要方法:
- 对10例接受远半径骨切除术的儿科病例进行了回顾性分析.
- 手术技巧包括手掌板骨质合成与下腹脊或全原移植,以及分心.
- 在某些情况下,包括远端部生长板的管理.
主要成果:
- 在10名儿童中,成功纠正了9名儿童的创伤后生长障碍.
- 大多数患者在术后实现了全范围的运动.
- 手掌板骨质合成与腹腔脊移植是主要的方法,外部固定和分心作为替代方法.
结论:
- 早期评估生长障碍的原因对于预防至关重要.
- 手术指示取决于患者的年龄,生长潜力,形以及患者/家长的愿望.
- 棕板骨质合成和阴茎顶部移植提供了高的校正率;建议监测远端椎增长板.
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