在青少年的骨骨架骨折的硬的内钉与上方的方法,与开放的肉身
Jong Wha Lee1, Jae Ho Cho1, Tae Hun Kim1
1Department of Orthopaedic Surgery, Ajou University Medical School of medicine, Suwon, Republic of Korea; Trauma Center, Ajou University Medical School of medicine, Suwon, Republic of Korea.
Injury
|March 1, 2026
概括
在骨不成熟的青少年中,带有骨轴骨折的suprapatellar刚性内钉 (RIMN) 并没有导致形或生长障碍. 这种技术为接近骨成熟度的选定患者提供了可行的替代方案.
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
- 创伤学 创伤学 创伤学
背景情况:
- 在骨不成熟的患者中,由于身体损伤的风险,通常会避免刚性骨髓内 (IM) 固定.
- 上硬性IM钉 (RIMN) 是一个新兴的替代方案,用于高能量的小腿骨轴骨折在老年青少年.
研究的目的:
- 评估RIMN在骨不成熟的青少年中是否会导致冠状或形形.
- 为了评估骨轴骨折的上皮带RIMN后的临床结果.
主要方法:
- 对骨不成熟的患者 (开放的近端骨质) 进行了回顾性审查,这些患者骨轴骨折经过了上RIMN治疗.
- 机械中间近腰角 (MPTA) 和后侧近腰角 (PPTA) 的放射评估,以检测不对齐 (>5°冠状,>10°角).
- 评估四肢长度差异 (>2厘米) 和临床结果,包括结合,疼痛和隔间综合征.
主要成果:
- 没有观察到MPTA或PPTA的显著变化.
- 在任何患者身上都没有出现冠状或形形变形,四肢长度差异或生长障碍.
- 两名患有开口骨折的患者没有结合;在一些患者中报告了轻度前膝痛和隔间综合征.
结论:
- 在接近骨成熟的青少年中,Suprapatellar RIMN提供了稳定的固定和令人满意的结果.
- 当其他固定方法不足于最佳时,这种技术是为选定的患者提供合理的替代方案.
- 身体密封体的保存仍然至关重要,但RIMN可以考虑在这个年龄组的特定复杂的骨轴骨折.
更多相关视频
07:35Creating Rigidly Stabilized Fractures for Assessing Intramembranous Ossification, Distraction Osteogenesis, or Healing of Critical Sized Defects
Published on: April 11, 2012
18.9K
09:01Treatment of Ankle Osteoarthritis with Total Ankle Replacement Through a Lateral Transfibular Approach
Published on: January 24, 2018
12.5K
相关概念视频
01:27Fractures: Bone Repair
6.0K
Treatment for a fracture is based on the type of break, the bone affected, and the patient's age.
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
Minor fractures with no bone displacement are treated by immobilizing the fractured bone using a cast or splint. However, in the case of fractures with displaced bones, the broken bones are repositioned before immobilization to ensure successful healing without deformation and loss of function. The realignment of fractured bone ends is performed through a process called reduction. If the...
6.0K
01:16Bones of the Lower Limb: Femur and Patella
8.8K
The femur is the body's longest and strongest bone spanning the thigh region. Its head articulates with the acetabulum of the hip bone to form the hip joint. A minor indentation on the medial side of the femoral head, called the fovea capitis, serves as the site of attachment for the ligament of the head of the femur. This weak ligament spans the femur and acetabulum and supports the hip joint. The narrowed region below the head is the neck of the femur. The inclination angle between the...
8.8K