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儿童前十字带重建中的生长障碍

Franck Accadbled¹, Marco Crippa², Marco Turati³

¹Orthopaedic Department, Hôpital des Enfants, CHU de Toulouse, France.

|August 20, 2025

概括

在儿童前交叉带 (ACL) 重建造成生长障碍的风险. 精细的手术技术和警的随访对于尽量减少肢体长度差异和角形变形等并发症至关重要.

科学领域:

骨科手术
儿童整形医学
运动医学

背景情况:

在骨未成熟的患者中,前十字带 (ACL) 重建具有独特的挑战.
包括四肢长度差异 (LLD) 和角形变形 (AD) 在内的生长障碍的风险可能会产生重大后果.
术前评估和术后监测不足有助于这些并发症.

研究的目的:

审查和综合目前关于儿童ACL重建后生长障碍的知识.
检查与这些异常相关的发生率,病理生理学和技术考虑.

主要方法:

对儿科ACL重建后生长障碍的现有文献进行系统审查.
分析病理生理学,包括身体损伤,周骨破坏和道错位.
增长异常的分类:停止 (A型),过度生长 (B型) 或绑定效应 (C型).

主要成果:

随着各种手术技术 (体外,全体外,骨外) 和移植类型的出现,可能会出现生长障碍.
分析显示LLD和AD的总体发病率较低,但报告受到异质定义和后续协议的阻碍.
大多数并发症与技术错误有关, 而不是手术本身.

结论:

没有单一的ACL重建技术可以保证预防生长障碍.
准确评估生长潜力 (骨年龄,临床,放射) 对于手术规划至关重要.
建议在术后进行全身站立放射,直到骨成熟为止;严格的技术和随访是必不可少的.

关键词:

关节镜检查复杂性增长的障碍儿童关节骨关节运动医学

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