在骨不成熟的患者前十字带损伤
Anthony C Egger1, Shital N Parikh
1Department of Orthopaedic Surgery, Children's Healthcare of Atlanta, Atlanta, GA (Egger) and the Department of Orthopaedic Surgery, Cincinnati Children's Hospital, Cincinnati, OH (Parikh).
The Journal of the American Academy of Orthopaedic Surgeons
|October 24, 2024
概括
前十字带 (ACL) 损伤在年轻患者中正在增加. 现在更安全的外科手术技术允许ACL重建,改善结果并减少骨不成熟个体的长期关节损伤.
科学领域:
- 整形外科手术 整形外科手术
- 儿科运动医学 儿科运动医学
- 骨生物学 骨生物学
背景情况:
- 在骨不成熟的患者中,前十字带 (ACL) 损伤的发生率增加.
- 由于对身体损伤的担忧,有史以来对手术重建的不情愿.
- 延迟治疗的后果包括关节不稳定性,阴茎撕裂和阴道损伤.
研究的目的:
- 审查骨不成熟个体前十字带 (ACL) 损伤的管理.
- 讨论相关的解剖学,风险因素和骨年龄评估.
- 为了比较不同的外科手术技术及其结果.
主要方法:
- 对儿童和青少年群体中ACL重建的当前文献的综述.
- 分析外科手术技术:体节,部分体和体.
- 评估患者报告的结果和与每个技术相关的并发症风险.
主要成果:
- 现代手术技术在骨不成熟的患者中为ACL重建提供了令人满意的结果.
- 骨年龄评估指导选择适当的手术技术.
- 所有的手术选择虽然有效,但都带有潜在的风险和并发症.
结论:
- 对于骨不成熟的患者来说,ACL重建越来越可行和有益.
- 仔细考虑基于骨成熟度的手术技术至关重要.
- 目前正在进行的研究旨在优化这一群体的结果,并最大限度地减少并发症.
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