一个国际共识的评估和管理的白痴性Genu Valgum:一个修改的德尔菲调查
Ashish S Ranade1, Gauri A Oka2, Mohan V Belthur3
1Blooming Buds Centre for Pediatric Orthopaedics, Deenanath Mangeshkar Hospital & Research Centre.
Journal of pediatric orthopedics
|February 4, 2025
概括
专家共识建立了评估和治疗特异性骨质疾病的共识,强调放射性评估和指导生长. 缺乏协议的领域突出显示了儿童整形外科未来研究的需求.
科学领域:
- 儿科整形医生 儿科整形医生
- 肢体变形纠正 肢体变形纠正
- 异形性Genu Valgum管理的管理方法
背景情况:
- 异常性 genu valgum (敲膝盖) 可能需要根据严重程度,年龄和剩余生长而进行治疗.
- 目前的管理层缺乏评估和治疗的标准指南.
- 建立专家共识旨在优化这种疾病的患者护理.
研究的目的:
- 为了发展专家的共识,对评估和治疗的异形性真实 valgus.
- 为手术医生提供指导,管理患有 genu valgum 的儿科患者.
- 确定需要进一步研究的领域.
主要方法:
- 一个经过修改的Delphi调查与29名国际儿科整形外科医生进行.
- 参与者对46个关于病史,检查,成像和治疗的陈述进行了投票.
- 共识被定义为≥70%的协议;协议较少的陈述被改进.
主要成果:
- 在28项声明上达成共识,包括全身站立放射和关节角度测量.
- 手术治疗建议是基于机械轴位置和剩余生长 (指导生长≥2年).
- 对于特定的急性骨切除术指示,商定了常见的腹腔神经减压.
结论:
- 共识陈述提供了指导,用于管理特异性遗传病.
- 没有共识的领域表明了未来多中心研究的机会.
- 这项研究有助于标准化对儿童真伪的方法.
相关概念视频
01:10Ankle Joint
1.4K
The ankle is formed by the talocrural joint (crural = leg). It consists of the articulations between the talus bone of the foot and the distal ends of the tibia and fibula of the leg. The superior aspect of the talus bone is square-shaped and has three areas of articulation. The top of the talus articulates with the inferior tibia. This is the portion of the ankle joint that carries the body weight between the leg and foot. The sides of the talus are firmly held in position by the articulations...
1.4K
01:23Knee Joint
1.4K
The knee joint is the most complicated joint in the body. It consists of three articulations– two tibiofemoral and one patellofemoral. As is characteristic of synovial joints, the knee joint has a thin articular capsule that partially surrounds this joint cavity. Additionally, several ligaments, muscles, and cartilaginous structures support the movement of the knee.
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
A total of seven ligaments support the knee joint. The patellar ligament, which is also attached to the quadriceps femoris...
1.4K