在患有神经肌肉疾病的患者中,肌转移固定
Maia D Regan1, Sarmistha Madan1, Colby M Freeman1
1The Children's Hospital of Philadelphia, Division of Orthopaedics, Philadelphia, PA, USA.
Journal of the Pediatric Orthopaedic Society of North America
|January 22, 2026
概括
干扰螺杆固定 (ISF) 为神经肌肉患者的肌移植提供了一个成功的替代方案,允许在不增加皮肤破坏的情况下更早地承受体重. 这种方法是有效的,无论患者的基线门诊状态.
科学领域:
- 整形外科手术 整形外科手术
- 儿科整形医生 儿科整形医生
- 神经肌肉疾病管理管理
背景情况:
- 在神经肌肉群体中,传统的肌转移固定方法 ( sutures,按) 通常需要非承重 (NWB) 时期,并带有压力等风险.
- 干扰螺丝固定 (ISF) 使用可生物吸收的螺丝固定肌,可能使得更早的承重 (WB).
研究的目的:
- 评估神经肌肉病患者的足肌移植中ISF的成功率和并发症.
- 为了比较ISF与传统的接固定方法.
主要方法:
- 102名神经肌肉患者进行脚/脚肌移植的回顾性审查 (2013-2023年).
- 收集的数据包括人口统计,神经诊断和外科手术.
- ISF故障被定义为手术内抽出,需要补充固定或放弃ISF.
主要成果:
- 75%的肌移植使用ISF,总体ISF失败率为8.9%.
- 在手术前行走和ISF衰竭之间没有发现相关性 (P > .05).
- 与其他固定类型相比,ISF组的术后重量承载显着较早 (P < .001),皮肤分解没有显著差异.
结论:
- 在神经肌肉病患者中,ISF是足肌移植的可行和成功的固定选择,不管门诊状态如何.
- 通过ISF,可以更快地恢复完全承重能力.
- 通过ISF,术后皮肤分解率与其他固定方法相比较.
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