手术时间和管理模式跨关节在关节形:一个系统的审查
Peter Joseph Mounsef1,2, Matthew Laroche2, Rayan Ben Letaifa3
1Shriners Hospital for Children-Canada.
Journal of pediatric orthopedics. Part B
|February 15, 2026
概括
术治疗先天性多发性关节炎 (AMC) 的时间和结果各不相同. 足部和部的早期干预比后来的上肢手术产生了不同的结果,这凸显了对标准化护理方案的需要.
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
- 肌肉骨系统疾病 肌肉骨系统疾病
背景情况:
- 综合性先天性关节 (AMC) 在手术管理中提出了复杂的挑战.
- 在多个关节进行干预的最佳时间和顺序仍然不清楚.
- 现有的文献缺乏AMC手术护理的标准化协议.
研究的目的:
- 系统地审查AMC的外科管理趋势.
- 确定各种关节的干预措施的最佳时间和功能结果.
- 为了为AMC护理同步提供共识流程的信息.
主要方法:
- 系统的文献综述 关于MEDLINE,Embase,科学网络和Scopus.
- 包括报告手术管理,干预年龄,复发或AMC患者的功能结果的研究.
- 42项涉及729名患者和1088个关节的研究的描述性分析.
主要成果:
- 平均干预年龄因关节而异:脚/部的婴儿期,上肢/脊柱的童年/青春期.
- 软组织手术在生命早期占主导地位;老年患者的骨重建.
- 单独的脚/膝软组织手术 (30-100%) 的复发率很高,但手腕/肩膀/脊柱融合的复发率很低 (<20%).
结论:
- 手术干预的时间和类型与AMC的复发和功能相关.
- 存在实质性的异质性和缺乏标准化的协议.
- 需要一个多学科的共识,以定义最佳的时间和顺序的AMC手术纠正.
相关概念视频
Urinary Tract Calculi VI: Surgical Management
581
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
581
Inflammatory Bowel Disease V: Surgical Management
672
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
672
Review and Preview
8.4K
In statistics, several tools are used to interpret the data. Measures of central tendency represent the characteristics of the data, such as mean, median, and mode. Additionally, measures of variance like standard deviation and range are used to find the spread of data from the mean. Relative standing measures the distance between data locations. Commonly used measures of relative standings are percentile, z score, and quartiles.
Percentiles are a type of fractile that partition data into...
Percentiles are a type of fractile that partition data into...
8.4K
Review and Preview
11.6K
Data are individual items of information obtained from a population or sample. Data may be classified as qualitative (categorical), quantitative continuous, or quantitative discrete. Because it is not practical to measure the entire population in a study, researchers use samples to represent the population. A random sample is a representative group from the population chosen by using a method that gives each individual in the population an equal chance of being included in the sample. Random...
11.6K
Structural Joints: Synovial Joints
7.4K
Synovial joints are the most common type of joint in the body. A key structural characteristic for a synovial joint is the presence of a joint cavity. This fluid-filled space is where the articulating surfaces of the bones contact each other. Also, unlike fibrous or cartilaginous joints, the articulating bone surfaces at a synovial joint are not directly connected to each other with fibrous connective tissue or cartilage. This gives the bones of a synovial joint the ability to move smoothly...
7.4K
Structural Joints: Fibrous Joints
3.9K
Fibrous joints are a type of joint where the bones are connected by fibrous connective tissue. These joints provide stability and minimal to no movement between the articulating bones. There are three types of fibrous joints.
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
Suture
All the bones of the skull, except for the mandible, are joined to each other by a fibrous joint called a suture. The fibrous connective tissue found at a suture strongly unites the adjacent skull bones and thus helps to protect the brain and form the face. In...
3.9K


