在青少年远端骨骨折中使用骨技术,骨损失
Tahsin Olgun Bayraktar1, Nazim Erkurt, Ali Yüce
1Department of Orthopedic and Traumatology, Prof. Dr. Cemil Taşcioğlu City Hospital, Istanbul, Turkey.
Journal of pediatric orthopedics. Part B
|January 29, 2026
概括
马斯基莱特技术有效地治疗了与骨损失有关的罕见青少年远端腰骨骨折,实现了无并发症的结合和良好的功能结果. 需要进一步的研究,以实现最佳的移植选择和技术的完善.
科学领域:
- 整形外科手术 整形外科手术
- 儿科创伤儿童创伤
- 骨缺陷的重建 骨缺陷的重建
背景情况:
- 高能创伤造成的青少年远端骨骨折是常见的,但具有显著骨损失的开放骨折很少见.
- 马斯基莱特技术在下肢缺陷方面是成功的,但在青少年上肢周关节缺陷方面很少有报道.
研究的目的:
- 评估马斯基莱特技术在青少年骨骨折与骨损失的临床和放射性结果.
主要方法:
- 4名青少年 (12-16岁) 患者的回顾性评估,其中有4名青少年 (12-16岁) 患有与Masquelet技术治疗的远端腰椎骨缺陷.
- 数据包括缺陷大小,手术细节,结合时间,肘部运动范围 (ROM) 和梅奥肘部性能得分 (MEPS).
主要成果:
- 平均缺陷大小为6.4厘米2. 所有患者均在平均13.3周内实现了放射性结合.
- 随访2年后,平均肘部ROM为122.5°,MEPS得分优异/良好.
- 没有观察到任何感染或神经血管并发症;使用了三叶皮下 iliac crest 和 cancellous graft.
结论:
- 马斯基莱特技术是一种可行和有效的选择,用于罕见的青少年远端骨骨折和骨损失.
- 需要进行更大规模的前性研究,以优化移植选择,抗生素间隔器的使用和第二阶段的时间.
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