儿童的坡道损伤:危险因素和结果
Jean Baltzer1, Antoine Josse, Sébastien Raux
1Department of Pediatric Orthopaedic Surgery, Hôpital Femme Mère Enfant, Bron, France.
Journal of pediatric orthopedics
|February 10, 2026
概括
阴茎斜坡病变 (MRL) 发生在超过25%的儿科前十字带重建 (ACLR) 病例中,接触运动增加了风险. 超过22%的MRL患者需要在中枢阴茎上进行进一步的手术.
科学领域:
- 整形外科手术 整形外科手术
- 儿科膝盖受伤的情况
- 运动医学运动医学
背景情况:
- 阴茎斜坡病变 (MRL) 经常与前十字带 (ACL) 损伤有关.
- 在接受ACL重建 (ACLR) 的儿科患者中了解MRL的发生率和危险因素对于手术规划和结果至关重要.
- 之前的研究还没有完全阐明这一人口群体中MRL的流行率和特定风险因素.
研究的目的:
- 确定发生率和识别风险因素,与阴茎损伤 (MRL) 相关的儿科患者接受ACLR.
- 评估临床失败率,定义为MRL修复手术,至少2年随访.
主要方法:
- 从小儿膝关节手术的第三级转诊中心前性收集数据的回顾性分析.
- 包括2015年至2018年期间接受初级或修订ACLR的儿科患者 (<18岁).
- 分析了两个队列:整体ACLR队列来评估MRL发生率和风险因素,以及MRL队列来评估重新操作率.
主要成果:
- 在儿科ACLR期间MRL的发生率为25.9% (216名患者中有56名).
- 接触体育的参与被确定为MRL发展的重要风险因素.
- 在MRL队列中 (n=53),22.6% (12名患者) 需要在后部中侧半月上重新手术,9.4% (5名患者) 接受了部分半月切除术.
结论:
- 阴茎斜坡病变 (MRL) 在儿科ACLR中很普遍,与参与枢纽接触运动有显著的关联.
- 很大一部分患有MRL的儿科患者需要随后在中间半月板上进行手术,这凸显了MRL识别和管理的重要性.
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