Clinical Efficacy of Arthroscopic Minimally Invasive Treatment in Children With Congenital Muscular Torticollis: A Retrospective Study

IF 2.4 2区医学 Q1 PEDIATRICS

Journal of pediatric surgery Pub Date : 2025-03-03 DOI:10.1016/j.jpedsurg.2025.162268

Xiao-Wei Wang , Zi-Ming Yao , Di-Ming Zhou , Yi-Jun Yang , Dong Guo , Lei Zhang

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引用次数: 0

Abstract

Objectives

The purpose of the study was to assess the clinical efficacy of arthroscopic treatment strategy in children with congenital muscular torticollis (CMT).

Methods

A retrospective study was carried out in patients diagnosed with CMT from October 2020 to March 2023, of the 98 subjects who met the inclusion criteria, 52 subjects underwent arthroscope-assisted treatment and 46 subjects treated with traditional open operation were recruited for the study. Clinical follow-up evaluation was evaluated using the modified Cheng scoring. Besides, the intraoperative and postoperative complications were recorded.

Results

There was no statistically significant difference regarding gender proportion, surgical treatment age, and affected side (P > 0.05) between the two groups of patients. Besides, the difference on the operation duration between the two groups was not significant (P > 0.05). However, the incision length and postoperative hospitalization time in the arthroscope-assisted group were significantly shorter than those of the traditional open surgery group (P < 0.05). During the follow-up period, the torticollis deformity was effectively corrected and the postoperative scars were almost invisible in the arthroscope-assisted group. Based on the Cheng’s scoring system, 50 (96.2 %) patients displayed excellent or good clinical results, and 2 (3.8 %) had fair outcomes in the arthroscope-assisted group, and the mean overall scores was comparable to the open surgery group (P > 0.05).

Conclusions

Within the limitations of the study, arthroscope-assisted minimally invasive treatment represents a promising and effective surgical option for children with CMT.

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关节镜微创治疗儿童先天性肌性斜颈的临床疗效回顾性研究

目的探讨关节镜治疗儿童先天性肌性斜颈（CMT）的临床疗效。方法对2020年10月至2023年3月诊断为CMT的患者进行回顾性研究，在符合纳入标准的98例患者中，招募52例接受关节镜辅助治疗的患者和46例接受传统开放手术的患者。临床随访评价采用改良Cheng评分法。并记录术中及术后并发症。结果两组患者性别比例、手术年龄、患侧差异无统计学意义(P >；0.05)。两组手术时间差异无统计学意义(P >；0.05)。然而，关节镜辅助组的切口长度和术后住院时间明显短于传统开放手术组(P <；0.05)。随访期间，关节镜辅助组斜颈畸形得到有效矫正，术后瘢痕几乎不可见。根据Cheng的评分系统，关节镜辅助组50例（96.2%）患者的临床结果为优或良，2例（3.8%）患者的临床结果为一般，平均总评分与开放手术组相当(P >；0.05)。在本研究的局限性内，关节镜辅助微创治疗是一种有希望且有效的儿童CMT手术选择。

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 surgery 医学-外科

CiteScore

1.10

自引率

12.50%

发文量

569

审稿时长

38 days

期刊介绍： The journal presents original contributions as well as a complete international abstracts section and other special departments to provide the most current source of information and references in pediatric surgery. The journal is based on the need to improve the surgical care of infants and children, not only through advances in physiology, pathology and surgical techniques, but also by attention to the unique emotional and physical needs of the young patient.