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[儿童手术治疗的结核性骨炎骨科后遗症的预测]

[Prediction of orthopedic sequels of operated tuberculous ostitis in children].

作者信息

Alatortsev A V, Kirillova E S, Mushkin A Iu, Riasnianskaia T B

出版信息

Probl Tuberk Bolezn Legk. 2006(12):58-61.

Abstract

Thirteen of 84 children with tuberculous ostitis of the proximal tibial portion were repeatedly operated on 1.5 to 12 years after radical reconstructive surgery due to developed orthopedic sequels. Deformities of the tibia were found to develop in the earliest period and tibial shortening formed significantly later. An association of the development of anatomic and functional disorders with the values obtained in the quantitative analysis of the baseline X-ray films of the diseased extremity. The findings permits one to consider it possible to significantly predict orthopedic sequels in children operated on for tuberculous ostitis and accordingly to plan repeated medical examinations.

摘要

84例胫骨近端结核性骨炎患儿中,有13例因出现骨科后遗症,在根治性重建手术后1.5至12年接受了多次手术。发现胫骨畸形在最早阶段出现,而胫骨缩短则明显在更晚的时候形成。解剖学和功能障碍的发展与患侧肢体基线X线片定量分析所获得的值之间存在关联。这些发现使人们能够认为,对于因结核性骨炎接受手术的儿童,有可能显著预测骨科后遗症,并据此安排重复的医学检查。

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