Guided Growth With Minifragment Plates for Angular Deformities in the Distal Radius in Skeletally Immature Patients. Preliminary Results.

IF 1.4 3区医学 Q3 ORTHOPEDICS

Journal of Pediatric Orthopaedics Pub Date : 2024-09-01 Epub Date: 2024-05-20 DOI:10.1097/BPO.0000000000002722

Antonio Soler-Jimenez, Pedro Gonzalez-Herranz, Natalia Pensado-Señoris

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引用次数: 0

Abstract

Introduction: Growth modulation allows correction of progressive ulnar deviation of the distal radius in skeletally immature patients, which may occur as a consequence of various pathologies. The aim of this study is to evaluate the radiographic results and complication rate in a series of patients treated with minifragment plates.

Methods: The medical records of 12 patients who underwent guided growth with a minifragment plate on the radial aspect of the distal radius as a consequence of angular deformities in the distal radius were retrospectively reviewed. Demographic data, radiographic changes, and complication rate were analyzed.

Results: A total of 14 wrists and forearms were evaluated. The mean age at which surgery was performed was 10.5 years (interquartile range: 9.0 to 11.3). The average time between placement and removal of the material was 28.7 months (SD: 8,89). In each case, a general improvement of the radiographic parameters was obtained. There were 3 postoperative complications, but only 1 of them required reintervention (broken metaphyseal screw).

Conclusions: Hemiepiphysiodesis using a minifragment plate is a treatment that respects the surgical anatomy and offers an alternative surgical option for angular deformities of the distal radius in children.

Level of evidence: Level IV.

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用微型钢板引导桡骨远端成角畸形的生长。初步结果。

简介生长调节可纠正骨骼不成熟患者桡骨远端逐渐出现的尺侧偏斜，这种偏斜可能是各种病变引起的。本研究的目的是评估一系列使用微型钢板治疗的患者的影像学结果和并发症发生率：方法：回顾性审查了因桡骨远端成角畸形而在桡骨远端桡侧使用微型钢板引导生长的 12 名患者的病历。对人口统计学数据、影像学变化和并发症发生率进行了分析：结果：共对 14 例手腕和前臂进行了评估。进行手术的平均年龄为 10.5 岁（四分位间范围：9.0 至 11.3）。从放置材料到取出材料的平均时间为 28.7 个月（标准差：8.89）。每个病例的放射学参数都得到了普遍改善。术后出现了 3 例并发症，但只有 1 例需要再次手术（骺螺钉断裂）：使用微型骨板进行半骺成形术是一种尊重手术解剖学的治疗方法，为儿童桡骨远端成角畸形提供了另一种手术选择：证据等级：IV级。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Pediatric Orthopaedics 医学-小儿科

CiteScore

3.30

自引率

17.60%

发文量

512

审稿时长

6 months

期刊介绍： Journal of Pediatric Orthopaedics is a leading journal that focuses specifically on traumatic injuries to give you hands-on on coverage of a fast-growing field. You''ll get articles that cover everything from the nature of injury to the effects of new drug therapies; everything from recommendations for more effective surgical approaches to the latest laboratory findings.