卧板用于指导生长:板材是否会改变绑定风险?
Gourav Jandial1, Josh Dyce1, Mina Gerges2
1Department of Orthopaedics, BC Children's Hospital.
Journal of pediatric orthopedics
|August 7, 2025
概括
卧床板有效地纠正儿科冠状平面形. 然而,合金植入物显示出更高的结合并发症率,这表明不钢可能是这种引导生长技术的首选.
科学领域:
- 整形外科 整形外科 整形外科
- 儿科整形外科 儿科整形外科
- 骨生长调节 骨生长调节
背景情况:
- 儿科冠状平面形通常通过使用外皮骨板和螺丝来治疗引导生长.
- "卧板"技术涉及去除形状螺丝,以允许未来的调整.
- 连接,导致过度校正,是已知的睡眠板技术的并发症.
研究的目的:
- 评估卧板技术的安全性和有效性.
- 为了比较不钢 (SS) 和合金 (Ti) 植入物之间结的发生率.
主要方法:
- 在34名患有冠状平面形的儿科患者中,对52个睡眠板进行了回顾性审查.
- 分析不钢 (30板) 与合金 (22板) 植入物.
- 使用放射测量 (mLDFA,MPTA,MAD) 评估变形反弹和绑定.
主要成果:
- 在SS和Ti组之间,插入或拔除螺丝时的年龄没有显著差异.
- 在Ti组 (59%) 的反弹率高于SS组 (27%),可能是由于随访时间较长.
- 所有四个绑定病例都发生在Ti组中,中位数发病时间为子取出后1.1年.
结论:
- 卧板技术是纠正儿科冠状平面形的一个可行的选择.
- 与不钢相比,合金植入物与结并发症的风险更高.
- 根据这些发现,建议避免用于卧板的合金植入物.
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