在严重的支柱状血中纠正脚不对齐的情况
Milud Shadi1, Piotr Janusz, Tomasz Kotwicki
1Department of Spine Disorders and Pediatric Orthopedics, Poznan University of Medical Sciences, Poznan, Poland.
Journal of pediatric orthopedics
|December 16, 2024
概括
这种SUPERankle手术可以纠正严重的状骨半身 (FH) 形,在儿童中实现植物级脚和稳定的脚. 虽然复发需要进一步的手术在40%,95%达到良好的结果在5年.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 肢体的重建 肢体的重建
背景情况:
- 在管理脚关节形和不稳定性方面,先天性骨骨 (FH) 带来了重大挑战.
- 严重的FH通常涉及equinovalgus脚变形,脚不稳定性,足曲 (Paley型IIIC).
研究的目的:
- 评估SUPERankle手术在纠正严重FH的脚对齐方面的有效性.
- 评估通过SUPERankle手术实现的脚稳定性的持久性.
主要方法:
- 17名患有严重FH的儿童接受了SUPERankle手术.
- 临床和放射性评估 (mLDTA,mTCA,mTCD,mADTA,mLTCA) 在手术前,手术后和长期随访 (平均63.0个月) 进行.
- 记录了复发率,额外的手术,并发症和生活质量 (四肢形-SRS).
主要成果:
- 在所有四肢中实现了手术后立即纠正脚对齐和平脚脚.
- 在随访时,58%的四肢保持了脚对齐.
- 放射性参数在手术后和随访时显著改善 (P < 0.001).
- 40%的复发率需要额外的程序,在5年的随访中,95%的患者取得了良好的结果.
结论:
- 这种SUPERankle手术可以有效地纠正严重FH的脚关节形和不稳定.
- 取得的纠正适用于随后的肢体延长手术.
- 对复发的外科手术干预在大多数患者中导致了良好的临床,放射和功能结果.
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