八钢板治疗小儿下肢畸形矫正：一项国际多中心研究中126例患者的不良事件及矫正结果

Paediatric lower limb deformity correction with the Eight Plate: adverse events and correction outcomes of 126 patients from an international multicentre study.

作者信息

Joeris Alexander, Ramseier Leonhard, Langendörfer Micha, von Knobloch Michael, Patwardhan Sandeep, Dwyer Jonathan, Slongo Theddy

机构信息

aAO Foundation, Clinical Investigation and Documentation, Dübendorf bOrthoClinic Zürich, Department for Children's Orthopaedics, Zürich cInselspital, Children's University Hospital, Bern, Switzerland dOlgahospital Stuttgart, Orthopaedic Department, Stuttgart eKarlsruhe Municipal Hospital, Pediatric Surgery Department, Karlsruhe, Germany fSancheti Institute for Orthopaedics and Rehabilitation, Department for Paediatric Orthopaedics, Pune, India gUniversity Hospital of North Staffordshire, Department for Orthopaedics, Stoke-on-Trent, Staffordshire, UK.

出版信息

J Pediatr Orthop B. 2017 Sep;26(5):441-448. doi: 10.1097/BPB.0000000000000397.

DOI:10.1097/BPB.0000000000000397

PMID:27832012

Abstract

No large multicentre studies have yet been published on tension-band-like implants such as the Eight Plate to treat limb-length discrepancies and varus valgus deformities in children. Therefore, we carried out a retrospective international multicentre study including 126 patients to assess outcomes and to reliably quantify the incidence of implant-related and growth-plate related adverse events (AEs). Correction was achieved in 66% of varus valgus deformities and in 59% of limb-length discrepancies and maintained in 85%. Twenty (18%) patients experienced 43 AEs, which were primarily screw-related. The AE rate of the Eight Plate is low; however, many of them could be avoided through tighter monitoring.

摘要

目前尚未发表关于诸如八字钢板等张力带样植入物治疗儿童肢体长度差异和膝内翻/膝外翻畸形的大型多中心研究。因此，我们开展了一项回顾性国际多中心研究，纳入126例患者，以评估治疗效果并可靠地量化与植入物相关及与生长板相关的不良事件（AE）的发生率。66%的膝内翻/膝外翻畸形和59%的肢体长度差异得到矫正，且85%得以维持。20例（18%）患者发生43起不良事件，主要与螺钉相关。八字钢板的不良事件发生率较低；然而，通过更密切的监测，其中许多不良事件是可以避免的。