成骨不全患儿肱骨穿钉术的功能结局
Functional Outcome of Humeral Rodding in Children With Osteogenesis Imperfecta.
作者信息
Ashby Elizabeth, Montpetit Kathleen, Hamdy Reggie C, Fassier Francois
机构信息
Department of Paediatric Surgery, Division of Paediatric Orthopaedics, Shriners Hospital for Children, McGill University, Montreal, QC, Canada.
出版信息
J Pediatr Orthop. 2018 Jan;38(1):49-53. doi: 10.1097/BPO.0000000000000729.
BACKGROUND
The impact of humeral rodding on functional ability in children with osteogenesis imperfecta (OI) has not previously been reported. This article investigates this issue.
METHODS
A retrospective chart review was conducted on 35 children with OI who underwent humeral rodding at our institution between 1995 and 2013. Fassier-Duval rods were inserted in 19 cases, K-wires in 13 cases, and Rush rods in 3 cases. Functional ability was assessed preoperatively and every year postoperatively using the self-care and mobility domains of the Pediatric Evaluation of Disability Inventory (PEDI).
RESULTS
The mean PEDI self-care score increased by 5.7 (P=0.028) and the mean PEDI mobility score increased by 3.6 (P=0.008) at 1-year postsurgery. Improved function was maintained in the majority of cases at a mean of 7.0 years postcorrection.
CONCLUSIONS
Humeral rodding in children with OI leads to significant improvement in functional ability.
LEVEL OF EVIDENCE
Level IV.
背景
肱骨内固定对成骨不全（OI）患儿功能能力的影响此前尚未见报道。本文对这一问题进行研究。
方法
对1995年至2013年间在本机构接受肱骨内固定的35例OI患儿进行回顾性病历审查。其中19例植入法西耶 - 杜瓦尔棒，13例植入克氏针，3例植入拉什棒。术前及术后每年使用儿童残疾评定量表（PEDI）的自我照顾和移动领域对功能能力进行评估。
结果
术后1年，PEDI自我照顾平均得分提高5.7（P = 0.028），PEDI移动平均得分提高3.6（P = 0.008）。大多数病例在矫正后平均7.0年功能持续改善。
结论
OI患儿肱骨内固定可显著改善功能能力。
证据级别
四级。
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