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儿科冠状体过程骨折的手术管理:两例病例的报告
Anna Gabriella Lamberti1, Aba Lőrincz1, Tibor Molnár1
1Division of Surgery, Traumatology, Urology, and Otorhinolaryngology, Department of Pediatrics, Clinical Complex, University of Pécs, 7 József Atilla Street, 7623 Pécs, Hungary.
Life (Basel, Switzerland)
|April 26, 2025
概括
使用自主骨移植进行手术重建,有效治疗罕见的儿科冠状体过程骨折,恢复肘部的稳定性和功能. 早期干预可以预防慢性不稳定性和伪关节炎的长期残疾.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 创伤学 创伤学 创伤学
背景情况:
- 儿童冠状体过程骨折不常见,经常被误诊,可能导致长期肘部不稳定.
- 延迟诊断可能导致伪关节炎和显著的功能缺陷,需要先进的治疗策略.
研究的目的:
- 评估使用自生骨移植的青少年慢性冠状腺过程骨折的手术治疗方法.
- 评估这种重建技术在恢复肘部稳定性和功能的有效性.
主要方法:
- 两名患有错误诊断,长期冠状骨折和伪关节炎的青少年患者进行了手术重建.
- 来自腹翼的自移植被用来重建冠状状体过程,随后是螺丝固定.
- 综合成像 (CT,MRI) 用于诊断和评估.
主要成果:
- 这两位患者在手术后和康复后实现了完全的功能恢复和肘部不稳定的完全解决.
- 一年后的随访显示出极好的运动范围 (0-0-130° flexion-extension,90-0-90° pronation-supination),没有任何并发症.
- 自体移植重建成功恢复了冠状腺的完整性和肘部的稳定性.
结论:
- 自生骨移植是一种有效的方法,用于重建患有慢性骨折和伪关节炎的儿科患者的冠状腺过程.
- 在这些罕见的情况下,先进的成像和及时的手术干预对于预防长期残疾和恢复功能至关重要.
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