过体半身生理:它真的可以逆转吗?
Tarek Hassan Abdelaziz1, Nabil Ghaly, Tamer A Fayyad
1Department of Orthopaedic Surgery, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Journal of pediatric orthopedics
|August 27, 2024
概括
使用透皮螺丝 (PETS) 进行的皮肤周周生理切除有效地纠正膝盖形,在年轻患者中可逆. 这项研究证实,PETS对于儿科角膝盖形是安全和可重现的.
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
- 骨的生长和发展.
背景情况:
- 使用跨体螺丝 (PETS) 进行皮肤间的显体修复,用于角膝盖形.
- 由于担心可逆性,外科医生犹在年幼儿童中使用PETS.
- 这项研究调查了PETS的有效性和可逆性.
研究的目的:
- 评估PETS在纠正冠状平面膝盖形方面的有效性.
- 评估PETS的可逆性,通过检查螺丝拆除后的physis行为.
- 为了确定PETS螺丝拆除后骨的生长是否恢复.
主要方法:
- 21名冠状平面膝盖形患者 (8-13岁) 的前景病例系列.
- 监测PETS疗效并进行低剂量CT扫描,在切除后6个月.
- 在手术前和手术后测量下肢长度,mLDFA和MPTA,以评估生长和可逆性.
主要成果:
- 对于真 (3.46毫米/月) 和真 (1.78毫米/月) 的显著校正率.
- 在拆除螺丝后的6个月内,没有检测到体质骨条.
- 在24个实验中,在12个实验中观察到增长的恢复;1个显示反弹变形,1个过度纠正.
结论:
- PETS是一种高度有效,可复制和安全的方法,用于hemiepiphysiodesis.
- 在青少年和早期青少年儿科群体中,PETS显示出真正的可逆性.
- 这种技术为年轻患者纠正角膝盖形提供了可靠的解决方案.
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