在患有超移动性谱系障碍的青少年患有形部的围骨切除术后的临床和放射结果
Camille Sullivan1, Lei Zhao, Molly Uchtman
1From the Division of Orthopaedic Surgery, Cincinnati Children's Hospital Medical Center, Cincinnati, OH (Sullivan, Zhao, Uchtman, McCarthy, and Whitlock), the Department of Orthopaedic Surgery, College of Medicine, University of Cincinnati, Cincinnati, OH (Sullivan, Zhao, Uchtman, McCarthy, and Whitlock), the Department of Orthopaedic Surgery, University of California, San Francisco, CA (Sullivan), the Department of Biomedical Engineering, University of Cincinnati, Cincinnati, OH (Whitlock), and the Department of Orthopaedics, Cedars-Sinai Medical Center, Los Angeles, CA (Whitlock).
患有高移动性谱系障碍 (HSD) 的患者因关节硬化而接受关节骨切除术 (PAO),表现出与没有HSD的患者相似的功能结果. 然而,HSD患者报告了更高的手术满意度和更大的术后部覆盖.
科学领域:
- 整形外科手术 整形外科手术
- 部发育不良的治疗方法
- 超移动性频谱障碍 超移动性频谱障碍
背景情况:
- 周围骨切除术 (PAO) 是青少年症状性骨张的标准治疗方法.
- 尽管存在担忧,但PAO在患有超移动性谱系障碍 (HSD) 患者的结果和并发症尚未得到充分记录.
研究的目的:
- 评估和比较PAO的结果在青少年患者和没有HSD.
- 在这个特定的患者群体中评估PAO后的放射和患者报告的结果.
主要方法:
- 对接受PAO治疗的患者进行了回顾性队列审查,以治疗乙体形症.
- 放射性参数的测量:维伯格侧侧中心边角 (LCEA),中间中心边角 (MCEA),前壁指数 (AWI),后壁指数 (PWI) 和托尼斯角.
- 收集患者报告的结果 (PROs),包括验证的部得分和满意度.
主要成果:
- 在HSD和非HSD组之间,年龄,性别,BMI,横向性或随访时间没有显著差异.
- 术后LCEA和AWI在HSD组明显高于非HSD组.
- 两组之间功能性PRO (例如,哈里斯关节评分,iHOT-33) 没有显著差异,但HSD组的患者满意度更高.
结论:
- 在患有和没有HSD的患者中,PAO在症状性形肌方面产生类似的功能结果.
- 在HSD患者中术后AWI和LCEA的增加表明增强的股骨头覆盖可能是有益的.
- 在PAO后,更大程度上覆盖大腿骨头的前侧侧覆盖可能是一个有希望的策略,以改善HSD患者的治疗结果.
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