在粘多糖症中为Genu Valgum指导生长:注意反弹
Zakir Haider1, Nikki Shah, Frank Acquaah
1Great Ormond Street Hospital for Children, London, UK.
Journal of pediatric orthopedics
|July 15, 2025
概括
导向生长手术在粘多糖症 (MPS) 患者中有效地纠正真,但复发是常见的. 建议在20度之前进行早期干预,特别是在MPS类型4中,以改善结果.
科学领域:
- 整形外科 整形外科 整形外科
- 遗传学 是一个遗传学.
背景情况:
- 基努瓦尔古姆 (Genu valgum) 是粘膜多糖症 (MPS) 患者经常出现的并发症.
- 改善MPS患者的预期寿命,需要对骨变形进行管理,以提高生活质量和移动性.
研究的目的:
- 评估使用张力带涂层指导生长的疗效,以纠正MPS患者冠状平面膝盖形.
- 为了评估正率,并发症发生率,以及手术干预后反弹形的发生.
主要方法:
- 病人的病历和长腿对齐片的回顾性审查.
- 在手术前后对机械轴偏差 (MAD),正向角,mLFDA和MPTA进行放射评估.
- 统计分析以确定复发和失败的预测因素.
主要成果:
- 在接受治疗的膝盖中,82%的膝盖实现了正常的机械轴偏差.
- 在板块移除后,平均达到2.1度的形形 (P<0.0001).
- 44%的纠正膝盖在17.2个月内经历了反弹的 genu valgum (平均15.2度);早期手术和4型MPS预测了复发.
结论:
- 导向增长为MPS患者的真实选择提供了高的成功率和低的并发症率.
- 最佳的外科手术时间是在20度之前,特别是在MPS类型4时.
- 复发是频繁的,需要潜在的重复手术;过度纠正到Varus可能会减少复发发作.
更多相关视频
08:05Occlusion of the Great and Small Saphenous Vein Using Copolymeric Glue Based on N-Butyl Cyanoacrylate and Methacryloxy Sulfolane
Published on: December 9, 2022
4.4K
05:07Author Spotlight: Implementing the Enhanced Recovery After Surgery Concept in Rehabilitation Following Anterior Cruciate Ligament Reconstruction
Published on: March 1, 2024
2.0K
相关概念视频
Glycosaminoglycans
5.1K
Glycosaminoglycans (GAGs), also known as mucopolysaccharides, are long and linear polymers comprising of specific repeating disaccharides - the amino sugar that can be N-acetylglucosamine or N-acetylgalactosamine, and a uronic acid that is usually glucuronic acid or iduronic acid.
GAGS are found in the extracellular matrix of vertebrates, invertebrates, and bacteria. Due to their polar nature they attract water, and serve as excellent lubricants or shock absorbers in an animal body.
Hyaluronic...
GAGS are found in the extracellular matrix of vertebrates, invertebrates, and bacteria. Due to their polar nature they attract water, and serve as excellent lubricants or shock absorbers in an animal body.
Hyaluronic...
5.1K
Proteoglycans
4.0K
Glycans, a class of complex heterogeneous molecules, can be covalently attached to proteins to form glycosylated proteins that regulate various physiological and pathological processes. Glycosylated proteins or glycoproteins comprise N-linked and O-linked oligosaccharides. O-glycosylation is the most common type of protein glycosylation. Here, glycans attach to the oxygen atom of the hydroxyl groups of Serine or Threonine residues. O-linked glycosylation occurs later in protein processing,...
4.0K
Step-Growth Polymerization: Overview
3.6K
Step-growth or condensation polymerization is a stepwise reaction of bi or multifunctional monomers to form long-chain polymers. As all the monomers are reactive, most of the monomers are consumed at the early stages of the reaction to form small chains of reactive oligomers, which then combine to form long polymer chains in the late stages. Hence, the reaction has to proceed for a long time to achieve high molecular weight polymers.
Many natural and synthetic polymers are produced by...
Many natural and synthetic polymers are produced by...
3.6K
Molecular Weight of Step-Growth Polymers
2.3K
Step growth polymerization involves bi or multifunctional monomers. Bifunctional monomers react to form linear step growth polymers, whereas multifunctional monomers react to form non-linear or branched polymers.
As the step-growth polymerization involves step-wise condensation of monomers, the molecular weight also builds up eventually. Consequently, high molecular weight polymers are obtained at the late stages of the polymerization, where 99% of monomers have been consumed.
The extent of the...
As the step-growth polymerization involves step-wise condensation of monomers, the molecular weight also builds up eventually. Consequently, high molecular weight polymers are obtained at the late stages of the polymerization, where 99% of monomers have been consumed.
The extent of the...
2.3K
Growth of Cartilage and Bone Tissue
3.5K
Chondrocytes form a temporary cartilaginous model by dividing and secreting a thick gel-like extracellular matrix. Once the chondrocytes undergo programmed cell death, osteoblasts enter the site of the cartilaginous model. The process of replacing the temporary cartilaginous model with bone in an ordered manner is called endochondral ossification. In endochondral ossification, not all of the cartilage is replaced by bone tissue. Some cartilage that performs a protective and supportive function...
3.5K
Drugs for Peptic Ulcer Disease: Sucralfate as Mucosal Protective Agents
700
In the intricate landscape of the gastric lumen, excessive acid secretion disrupts the natural defense mechanisms, weakening the mucus-bicarbonate barrier. This vulnerability allows pepsin to infiltrate epithelial cells, digesting mucosal proteins and triggering erosion, leading to ulcer formation.
In this scenario, mucosal protective agents like sucralfate play an essential role. Sucralfate, a complex of sulfated sucrose and aluminum hydroxide, demonstrates its usefulness in acidic conditions,...
In this scenario, mucosal protective agents like sucralfate play an essential role. Sucralfate, a complex of sulfated sucrose and aluminum hydroxide, demonstrates its usefulness in acidic conditions,...
700
