Service de chirurgie orthopédique pédiatrique, université de Paris, hôpital Necker-Enfants malades, AP-HP, Paris, France.
Service de chirurgie orthopédique pédiatrique, université de Paris, hôpital Necker-Enfants malades, AP-HP, Paris, France; Clinique Marcel-Sembat, Boulogne, France.
Orthop Traumatol Surg Res. 2020 Nov;106(7):1353-1359. doi: 10.1016/j.otsr.2020.06.009. Epub 2020 Oct 1.
The aim of the present study was to report results of direct circular suture after 1-stage circumferential resection of limb ring constriction in amniotic band syndrome. A multicentre retrospective study included 14 patients with amniotic band syndrome (mean age, 13.3 months) operated on between 2004 and 2019 by circumferential release of ≥1 ring constriction. Assessment was based on limb function and clinical scar aspect on the POSAS and Vancouver scales. Mean follow-up was 3.9 years. There were no scar-related, vascular or neurologic complications, postoperatively or at last follow-up. POSAS and Vancouver scores were satisfactory. One-stage circumferential release with direct closure is a simple technique that provides satisfactory functional and esthetic results.
本研究旨在报告 1 期环形切除羊膜带综合征肢体环状缩窄后直接环形缝合的结果。一项多中心回顾性研究纳入了 2004 年至 2019 年间接受环形松解术治疗≥1 个环状缩窄的 14 例羊膜带综合征患者（平均年龄 13.3 个月）。评估基于 POSAS 和温哥华量表上的肢体功能和临床瘢痕外观。平均随访 3.9 年。术后或末次随访时无瘢痕相关、血管或神经并发症。POSAS 和温哥华评分均满意。一期环形松解术加直接缝合是一种简单的技术，可获得满意的功能和美观效果。
