关节关节部的开放缩减会导致硬吗?
David E Teytelbaum1, Vinieth Bijanki1, Solomon P Samuel2
1Department of Orthopaedic Surgery, School of Medicine, Saint Louis University, Saint Louis, MO.
Journal of pediatric orthopedics
|April 30, 2025
概括
在arthrogryposis多发性先天性 (arthrogryposis) 的部脱位的开放减轻改善了部运动和绑架,增强了患者的行走能力. 这种手术保持了运动能力,而不会引起显著的部硬,大多数患者可以实现独立行走.
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
- 遗传性部脱 遗传性部脱
背景情况:
- 在Arthrogryposis multiplex congenita (arthrogryposis) 的先天性部脱后,有关部硬性的担忧仍然存在.
- 已发表的结果表明了积极的结果,需要进一步评估部移动性和门诊功能.
研究的目的:
- 为了回顾性地比较手术前和手术后的部运动范围.
- 为了评估患者在关节关节突变的开放性减少后的门诊能力.
主要方法:
- 对52名患有关节缩症的患者 (75个部) 进行了10年后期的回顾,这些患者接受了开放式部缩减 (至少2年后续).
- 在手术前,手术后和最终随访时评估部运动范围 (屈曲,绑架) 和门诊状态.
- 对部稳定性和无血管亡 (AVN) 的放射性评估.
主要成果:
- 在部曲收缩 (22度),青腿绑架 (11度) 和绑架 (10度) (P ≤0.001) 中观察到显著改善.
- 总曲-延伸运动弧的变化最小 (-1度,P=0.733).
- 在平均68个月的随访期内,31名患者独立行走,15名患者依赖步行者,6名患者仍不行走. AVN发生在~50%的部,但没有影响整体运动.
结论:
- 关节关节位脱的开放性减轻有效地保持部的移动性,而不会引起显著的硬性.
- 部延伸和绑架的改善增强了下肢的定位,并促进了行走.
- 大多数患者在手术后实现了独立行走.
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