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小儿前臂骨干骨折畸形愈合:治疗原则与技术

Malunion of Pediatric Forearm Shaft Fractures: Management Principles and Techniques.

作者信息

Li T Peter, Wollstein Adi, Sabharwal Samir, Nayar Suresh K, Sabharwal Sanjeev

机构信息

Department of Orthopaedic Surgery, Johns Hopkins University School of Medicine, Baltimore, MD, USA.

Department of Orthopaedic Surgery, University of California San Francisco, Benioff Children's Hospital, Oakland, CA, USA.

出版信息

Curr Rev Musculoskelet Med. 2022 Dec;15(6):427-437. doi: 10.1007/s12178-022-09783-2. Epub 2022 Jul 25.

Abstract

PURPOSE OF REVIEW

Clinically significant malunion of forearm diaphyseal fractures is an uncommon but potentially disabling condition amongst children and adolescents. We present the preoperative evaluation, including imaging, and discuss surgical indications and contemporary approaches to manage such patients, including an illustrative case.

RECENT FINDINGS

While advances in three-dimensional (3D) simulation, modeling, and patient-specific instrumentation have expanded the surgical armamentarium, their impact on long-term outcomes compared to traditional methods remains unknown. Successful outcome following surgical correction of malunion following a both-bone forearm fracture can be achieved with careful patient selection, appropriate indications, and a well-planned surgical execution.

摘要

综述目的

前臂骨干骨折出现具有临床意义的畸形愈合在儿童和青少年中虽不常见,但可能导致残疾。我们介绍术前评估,包括影像学评估,并讨论此类患者的手术指征和现代治疗方法,包括一个病例说明。

最新发现

虽然三维(3D)模拟、建模和个性化器械的进展扩大了手术器械库,但与传统方法相比,它们对长期疗效的影响尚不清楚。通过仔细选择患者、把握合适的指征以及精心规划手术操作,双侧前臂骨折畸形愈合的手术矫正可取得成功的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8769/9789287/db72bf5f7ab0/12178_2022_9783_Fig1_HTML.jpg

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