长期结局 (28-40岁) 经通过永久性生病修复腿长差异后的长期结果
Andrea Laufer1,2, Paula Swoboda3,4, Georg Gosheger4
1Pediatric Orthopedics, Deformity Reconstruction and Foot Surgery, Muenster University Hospital, Muenster, Germany. andrea.laufer@ukmuenster.de.
概括
恒久性体形 (pED) 有效地纠正腿长度差异 (LLD) 和高个体. 长期随访显示没有显著的膝关节关节炎或对齐问题,支持其在儿科整形外科的使用.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形外科 儿科整形外科
- 生物机械工程 生物机械工程
背景情况:
- 永久性体外科 (PED) 是一种手术技术,用于腿长度差异 (LLD) 和高个体.
- 虽然少入侵的方法是常见的,但在儿科骨科中,PED仍然很重要.
- 皮质发育对膝关节形态和骨关节炎的长期影响尚未完全理解.
研究的目的:
- 为了评估Phemister pED的长期结果.
- 评估pED后的二次膝关节形态变化.
- 为了确定在PED之后早发性骨关节炎的发病率.
主要方法:
- 对20名接受Phemister pED治疗LLD的患者 (1980-2006) 的回顾性审查.
- 与年龄和性别匹配的10名未接受治疗的个人对照组进行比较.
- 临床和放射评估包括LLD,机械轴,关节角度,膝盖解剖学,关节炎分级和患者报告的结果 (OKS,EQ-5D-3L,KOOS).
主要成果:
- 随访时间中位数为37年.
- 平均LLD从2.8厘米减少到1.1厘米,其中55%的残留LLD大于1厘米.
- 关节对齐或膝盖解剖没有显著差异;轻度关节炎 (1级) 在2名患者与0名对照中. 在pED组中较低的OKS和EQ-5D-3L分数,类似的KOOS分数.
结论:
- 菲米斯特pED显示了令人满意的长期LLD纠正,没有显著的二次变形或膝关节关节炎.
- 功能略有下降和不适感增加,但研究结果支持现代PED技术,特别是对于高个体等选择性病例.
- 需要进一步与皮肤穿方法进行比较研究.
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