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对儿童后脚形进行微创和开放的后脚位骨切除术:一项比较研究

Madeleine Willegger¹, Caroline Cristofaro², Maryse Bouchard³

¹Department of Surgery, Division of Orthopaedic Surgery, Hospital for Sick Children, Canada; Department of Orthopaedic and Trauma Surgery, Medical University of Vienna, Austria.

Foot and ankle surgery : official journal of the European Society of Foot and Ankle Surgeons

|August 22, 2025

概括

最少侵入性后部位位移骨切除术 (MI-PDCO) 是儿童后脚形的安全有效替代方案,其结果与开放方法相似. 这种技术对于需要复杂足重建的儿童来说是一个可行的选择.

科学领域:

儿童整形医学
足部和脚手术
手术技术

背景情况:

后部位移骨切除术 (PDCO) 用于成年后脚形的纠正.
在儿童群体中使用微侵袭性PDCO (MI-PDCO) 的数据有限.
这项研究针对儿童的开放式与微创方法的比较结果.

研究的目的:

在儿科患者中比较开放PDCO (O-PDCO) 和MI-PDCO的临床和放射性结果.
评估MI-PDCO对儿童后脚形的安全性和有效性.
评估MI-PDCO在儿科复杂脚重建中的适用性.

主要方法:

追溯性比较研究 (第三级证据).
包括23名儿科患者的29例骨切除术 (平均年龄为13. 0±3. 0岁).
作为复杂脚部和脚重建的一部分进行的手术,包括11种开放式 (O-PDCO) 和18种最小侵入式 (MI-PDCO) 方法.

主要成果:

没有报告延迟结合,非结合或细胞生长障碍的病例.
发生了7例神经麻醉 (O-PDCO为18. 1%,MI-PDCO为27. 7%),所有病例均得到缓解.
平均随访时间为35. 4 ± 19. 1个月.

结论:

MI-PDCO是传统O-PDCO的安全有效替代品,用于儿童后脚形.
在此儿科队列中,微创方法的结果与开放技术相似.
MI-PDCO可可靠地用于复杂的儿科脚部和脚重建.

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