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儿童桡骨远端骨折畸形愈合

Malunion of distal radius fractures in children.

作者信息

Jeroense Kimberly T V, America Tim, Witbreuk Melinda M E H, van der Sluijs Johannes A

机构信息

Department of Orthopaedic Surgery , VU University Medical Center, Amsterdam , the Netherlands.

出版信息

Acta Orthop. 2015 Apr;86(2):233-7. doi: 10.3109/17453674.2014.981781. Epub 2014 Oct 30.

DOI:10.3109/17453674.2014.981781
PMID:25355309
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4404777/
Abstract

BACKGROUND AND PURPOSE

Distal forearm fractures in children have excellent remodeling potential. The current literature states that 15° is the maximum acceptable angulation limit, though studies focusing on remodeling capacity above this value are lacking. We present data on the remodeling process in children with distal radius malunions with an angulation of ≥ 15°.

PATIENTS AND METHODS

Retrospectively, we radiographically evaluated the remodeling in 33 children (aged 3-14 years) with 40 distal radius fractures healed in ≥ 15° angulation in the dorsovolar (DV) plane (n = 32) and/or the radioulnar (RU) plane (n = 8). Malunion angulation at the start and at last follow-up was measured on AP and lateral-view radiographs. Mean follow-up time was 9 (3-29) months.

RESULTS

All fractures showed remodeling. Mean DV malunion angulation was 23° (15-49) and mean RU malunion angulation was 21° (15-33). At follow-up, this had remodeled to mean 8° (-2 to 21) DV and 10° (3-17) RU. Mean remodeling speed (RS) was 2.5° (0.4-7.6) per month. There was a negative correlation between RS and remodeling time (RT) and a positive correlation between RS and malunion angulation. The relationship between RS and RT was exponential. RS was not found to be related to age or sex.

INTERPRETATION

Remodeling speed decreases exponentially over time. Its starting value depends on the amount of angulation of distal radius fractures. This compensates for the increased need for remodeling in severely angulated fractures.

摘要

背景与目的

儿童前臂远端骨折具有良好的重塑潜力。当前文献表明，15°是可接受的最大成角限度，不过缺乏针对超过此值的重塑能力的研究。我们呈现了桡骨远端畸形愈合且成角≥15°的儿童重塑过程的数据。

患者与方法

我们回顾性地对33名年龄在3至14岁的儿童进行了影像学评估，这些儿童的40例桡骨远端骨折在背掌侧（DV）平面（n = 32）和/或桡尺侧（RU）平面（n = 8）以≥15°的角度愈合。在前后位和侧位X线片上测量初始和末次随访时的畸形愈合角度。平均随访时间为9（3 - 29）个月。

结果

所有骨折均显示出重塑。平均DV畸形愈合角度为23°（15 - 49），平均RU畸形愈合角度为21°（15 - 33）。在随访时，这已重塑至平均DV为8°（-2至21），RU为10°（3 - 17）。平均重塑速度（RS）为每月2.5°（0.4 - 7.6）。RS与重塑时间（RT）呈负相关，与畸形愈合角度呈正相关。RS与RT之间的关系呈指数关系。未发现RS与年龄或性别有关。

解读

重塑速度随时间呈指数下降。其起始值取决于桡骨远端骨折的成角量。这补偿了严重成角骨折中对重塑增加的需求。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/e74b1de311f6/ORT-86-233-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/fecaeb6d7b6d/ORT-86-233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/bf4822f7f304/ORT-86-233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/6b990008c425/ORT-86-233-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/afefe979d008/ORT-86-233-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/e74b1de311f6/ORT-86-233-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/fecaeb6d7b6d/ORT-86-233-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/bf4822f7f304/ORT-86-233-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/6b990008c425/ORT-86-233-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/afefe979d008/ORT-86-233-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2820/4404777/e74b1de311f6/ORT-86-233-g005.jpg

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Int Orthop. 2024 Aug;48(8):2091-2099. doi: 10.1007/s00264-024-06197-2. Epub 2024 May 10.
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