机械轴偏移 肢体延长在解剖轴上的偏移,回顾性分析
Akram Al Ramlawi1, Philip K McClure1, John E Herzenberg1
1International Center for Limb lengthening, Sinai of Baltimore, Baltimore, MD.
JB & JS open access
|April 15, 2025
概括
使用磁性内指甲 (MILNs) 延长前段对下肢对齐的影响最小. 使用MILNs的股骨延长在机械轴上几乎没有偏差,保持了关节对齐.
科学领域:
- 整形外科手术 整形外科手术
- 生物机械工程 生物机械工程
背景情况:
- 肢体延长器件已经从外部固定器演变为望远镜磁性肌内延长指甲 (MILNs).
- 随着MILNs的前级延长沿着骨的解剖轴发生,这引发了关于潜在的机械轴偏差 (MAD) 的问题.
研究的目的:
- 为了研究使用MILNs对下肢对齐的前级大腿延长的影响.
- 为了评估假设,前延长导致横向MAD的假设.
主要方法:
- 在122名成年患者中,对154个前期大腿部MILN进行了回顾性审查.
- 排除患有并发症或并发症的患者.
- 通过长腿站立的X光照,对机械轴偏差 (MAD) 和解剖机械角度 (AMA) 的顺序评估.
主要成果:
- 平均手术前MAD是2.4mm中位,在延长 (1.9mm中位) 和巩固 (2.6mm中位) 期间的变化最小.
- 马德的净移动为0.18毫米,明显小于预测的5.4毫米.
- 平均AMA从手术前的5.9毫米下降到延长后的4.8毫米.
结论:
- 使用望远镜MILN进行的前级大腿延长对无变形大腿骨的机械轴和关节对齐的影响最小.
- 股骨在延长过程中表现出自我调整,最大限度地减少机械偏差并保持关节对齐.
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