在骨不成熟的患者中,经过体ACL重建后的高修订率
Benjamin Bartek1, Tobias Jung1, Theresa Lackner2
1Center for Musculoskeletal Surgery, Charité-University Medicine Berlin, 10117 Berlin, Germany.
Journal of personalized medicine
|December 27, 2024
概括
在骨不成熟的患者中,体前十字带 (ACL) 重建显示出很好的结果,增长障碍最小. 然而,高的修订率凸显了管理这些ACL损伤的挑战.
科学领域:
- 整形外科手术 整形外科手术
- 运动医学 运动医学
- 儿科整形外科 儿科整形外科
背景情况:
- 在骨不成熟的患者中,前十字带 (ACL) 损伤的最佳管理仍在争论中.
- 过体ACL重建是一种在患有开放生长板的患者中使用的技术.
- 评估临床结果对于指导这一群体的治疗决策至关重要.
研究的目的:
- 为了评估骨不成熟的患者与开放生长板的ACL重建的临床结果.
- 为了评估手术后的功能恢复,膝盖稳定性和潜在的生长障碍.
主要方法:
- 对31名骨不成熟的患者进行了回顾性研究,这些患者有ACL撕裂和开放的身体.
- 使用四丝半状自体移植 (可选的Gracilis移植) 的ACL重建.
- 物理保护道的放置,随后进行临床评估 (IKDC,Lysholm,KOOS,KT-1000) 和生长测量.
主要成果:
- 平均随访时间为49个月;平均恢复运动时间为8.8个月.
- 整体修订率为29% (8/31切片破裂).
- 良好的功能评分 (IKDC,Lysholm,KOOS) 和稳定的膝盖稳定性 (KT-1000平均差异2.2毫米);没有发现显著的生长障碍.
结论:
- 在骨不成熟的患者中,跨体ACL重建提供了有利的临床和放射性结果,具有较低的生长障碍风险.
- 大多数患者恢复到他们受伤前的运动活动水平.
- 高的修订率凸显了这一群体中ACL损伤管理的复杂性.
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