关节镜术在儿童和青少年中不断变化的作用和技术
Shalin Shah1, Tyler Stavinoha2, Jeffrey J Nepple3
1Children's Hospital of Eastern Ontario; University of Ottawa, Ottawa, ON, Canada.
概括
关节镜越来越多地用于儿科和青少年的关节疾病,如股骨关节. 虽然有效,但非手术护理至关重要,潜在的并发症需要仔细考虑.
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
- 最少侵入性的手术
背景情况:
- 关节镜已经从诊断用途演变为儿科和青少年关节病理的主要治疗方法.
- 由于技术进步和改善的培训,关节镜干预和技术的范围正在迅速扩大.
研究的目的:
- 审查当前的概念,进展,指示,技术,结果和关节镜术在儿科和青少年群体的并发症.
- 为了探索新出现的迹象,如滑落的资本大腿骨 (SCFE) 形纠正,边缘性部发育不良,败血性关节炎,婴儿发育不良和珀斯病.
主要方法:
- 关于儿科和青少年关节镜的当前文献和证据的综述.
- 讨论已确定的和正在发展的指示,手术技术和患者的结果.
- 对这种年龄组特有的潜在并发症和挑战的分析.
主要成果:
- 股骨支柱阻塞 (FAI) 和腹腔病理是常见的迹象,具有很好的结果,但首先强调非手术治疗.
- 关节镜术是具有较低风险的微创手术,但潜在的并发症包括修复手术,神经损伤,感染和植入物失败.
- 正在探索新的适应症,对年轻患者的各种部疾病有前途.
结论:
- 关节关节镜术为内关节和外关节儿科关节病理提供了重要的外科应用.
- 持续的研究和创新对于改善结果和扩大年轻患者的治疗选择至关重要.
- 需要更多的儿科专用临床研究来进一步推进该领域.
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