导向生长是否是一个可行的治疗选择,用于纠正角形变形在偏远管酸性症患者?
Siddharth Jain1, Prateek Behera1, Girish Chandra Bhatt1
1All India Institute of Medical Sciences, Bhopal, 462020, India.
Journal of clinical orthopaedics and trauma
|December 1, 2025
概括
使用八板生长调节为患有远端管酸性症 (dRTA) 的儿童治疗角膝盖形提供了不那么侵入性的治疗方法. 这种方法显示出有希望的结果,可能减少对传统骨切除术的需求.
科学领域:
- 儿科整形外科 儿科整形外科
- 儿科内分泌学 儿科内分泌学
- 腎臟病學 (nephrology) 是一種醫學專業.
背景情况:
- 远端管酸性症 (dRTA) 导致代谢酸性和骨问题,如恶心病.
- 在dRTA中严重的膝盖形可能需要手术干预.
- 传统的骨切除术是侵入性的;像指导生长这样的不那么侵入性的选择在dRTA中没有得到充分研究.
研究的目的:
- 评估使用八板导向生长的疗效和安全性,用于在患有dRTA的儿童中管理 genu valgum.
- 为了评估角纠正和术后并发症的速度.
主要方法:
- 七名患有dRTA和genu valgum的儿童的回顾性研究,这些儿童接受了八张板的hemiepiphysiodesis治疗 (2019-2024年).
- 保持对dRTA的同时医疗管理.
- 记录了角度纠正率和并发症.
主要成果:
- 所有七名患者都实现了角形形的纠正.
- 没有观察到与植入物相关的并发症.
- 平均角度校正率为1.18°/月 (远距离大腿骨) 和0.54°/月 (靠近骨).
结论:
- 同时的医疗管理和八板导向生长是DRTA儿童角形形的可行和有效选择.
- 这种侵入性较小的方法可能会减少或消除骨切除术的需要.
- 有希望的结果表明,引导生长是一种有价值的替代治疗方法.
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