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长期的手术结果的先天性形

T J Ong¹, K Jamil¹, A F Abd-Rasid¹

¹Department of Orthopaedics and Traumatology, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia.

Malaysian orthopaedic journal

|August 25, 2025

概括

骨的先天性形形 (CPT) 治疗是复杂的. 结合骨内和伊利扎罗夫外 (Ilizarov external fixation,IEF) 改善骨结合并减少骨折,尽管四肢形和长度差异仍然存在挑战.

科学领域:

整形外科手术
儿童整形医学
肢体重建

背景情况:

骨的先天性伪 (CPT) 带来了重大治疗挑战.
常见的手术后并发症包括非结合,折断,四肢形和长度差异.

研究的目的:

评估为先天性骨形治疗的儿童的手术结果.
评估骨的主要结合,折断率和整体成功率.
在骨成熟的患者中分析长期结果,包括约翰斯顿分级,残留形和四肢长度差异 (LLD).

主要方法:

在12名患者 (13名骨) 进行的回顾性研究.
外科干预包括内接 (IM),伊利扎罗夫外部固定器 (IEF) +IM棒,或单独使用IEF.
评估初级结合,折断,约翰斯顿分级,残留变形和LLD.

主要成果:

在38.5%的骨中实现了初级结合;由于折断,整体成功率为23. 1%.
通过将IM划线与IEF相结合,有效地降低了折射率.
在骨成熟 (平均治疗后12. 6年) 时,观察到显著的残留形 (valgus, varus, procurvatum, recurvatum) 和平均LLD为3. 9厘米.

结论:

仅靠骨内接是不够的
通过将IM接线与IEF相结合,可以提高接线率并减少折断.
虽然随着年龄的增长,肢体残留变形和缩短仍然是CPT管理的关键挑战.

关键词:

伊利扎罗夫的外部固定装置骨的先天性形在骨髓内发生骨类关节炎

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