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儿童角度矫正的引导性生长:两种张力带钢板设计的比较

Guided growth for angular correction in children: a comparison of two tension band plate designs.

作者信息

Kadhim Muayad, Gauthier Luke, Logan Karl, El-Hawary Ron, Orlik Benjamin

机构信息

Department of Orthopaedic Surgery, IWK Health Centre, Halifax, Nova Scotia, Canada.

出版信息

J Pediatr Orthop B. 2018 Jan;27(1):1-7. doi: 10.1097/BPB.0000000000000492.

DOI:10.1097/BPB.0000000000000492
PMID:28799981
Abstract

UNLABELLED

This retrospective cohort study examined 20 patients (48 physes), 11 boys and nine girls, who were treated with hinge-plate or eight-plate. The mean age of the patients at surgery was 11.9±2.6 years. The mean follow-up duration was 13±2.7 months. The radiographic measurement of both distal femoral and proximal tibial deformity showed significant correction, with no difference between the hinge-plate and the eight-plate. Both screw divergence angle and the hinge angle showed significant changes at the last follow-up. The deformity correction of the distal femoral physis was quicker than the proximal tibial physis. The rate of mechanical femoral-tibial angle correction was 0.97°/month if both femoral and tibial physes were treated.

LEVEL OF EVIDENCE

III.

摘要

未标注

本回顾性队列研究对20例患者(48个骨骺)进行了检查,其中11例男孩和9例女孩,接受了铰链钢板或八孔钢板治疗。手术时患者的平均年龄为11.9±2.6岁。平均随访时间为13±2.7个月。股骨远端和胫骨近端畸形的影像学测量显示有显著矫正,铰链钢板和八孔钢板之间无差异。在最后一次随访时,螺钉发散角和铰链角均有显著变化。股骨远端骨骺的畸形矫正比胫骨近端骨骺更快。如果股骨和胫骨骨骺均接受治疗,机械性股胫角矫正率为0.97°/月。

证据水平

III。

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