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新型个体化导航模板在治疗 DDH 的股骨近端矫正截骨术中的疗效和安全性。

Efficacy and safety of a novel personalized navigation template in proximal femoral corrective osteotomy for the treatment of DDH.

机构信息

Department of Sports Medicine, Xiangya Hospital, Central South University, Changsha, 410008, People's Republic of China.

Key Laboratory of Organ Injury, Aging and Regenerative Medicine of Hunan Province, Changsha, 410008, People's Republic of China.

出版信息

J Orthop Surg Res. 2020 Aug 12;15(1):317. doi: 10.1186/s13018-020-01843-y.

Abstract

BACKGROUND

This present study is aimed to retrospectively evaluate the efficacy and safety of a novel personalized navigation template in proximal femoral corrective osteotomy for the treatment of DDH.

METHODS

Twenty-nine consecutive patients with DDH who underwent proximal femoral corrective osteotomy were evaluated between August 2013 and June 2017. Based on the different surgical methods, they were divided into the conventional group (n = 14) and navigation template group (n = 15). The osteotomy degrees, radiation exposure, and operation time were compared between the two groups.

RESULTS

No major complications relating to osteotomy surgery such as redislocation or avascular necrosis occurred in the navigation template group, which had more accurate osteotomy degrees, less radiation exposure, and shorter operation time when compared with the conventional group (P < 0.05). Moreover, there was significant difference according to the McKay criteria between the two groups (P = 0.0362).

CONCLUSIONS

The novel personalized navigation template in proximal femoral corrective osteotomy is effective and safe, which could improve the femoral osteotomy accuracy, reduce radiation exposure, and shorten operation time.

摘要

背景

本研究旨在回顾性评估一种新型个体化导航模板在治疗发育性髋关节发育不良(DDH)的股骨近端截骨术中的疗效和安全性。

方法

2013 年 8 月至 2017 年 6 月,我们对 29 例 DDH 患者进行了股骨近端截骨术治疗。根据不同的手术方法,将患者分为常规组(n=14)和导航模板组(n=15)。比较两组患者的截骨角度、放射暴露量和手术时间。

结果

导航模板组未发生与截骨术相关的严重并发症,如再脱位或缺血性坏死,与常规组相比,导航模板组的截骨角度更准确,放射暴露量更少,手术时间更短(P<0.05)。此外,两组患者根据 McKay 标准的评估结果有显著差异(P=0.0362)。

结论

新型个体化导航模板在股骨近端截骨术中安全有效,可提高股骨截骨的准确性,减少放射暴露,缩短手术时间。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1c76/7424650/05b396b1b5f5/13018_2020_1843_Fig1_HTML.jpg

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