小儿肘外翻矫治及肱骨外侧髁缺损重建之研究。

IF 1.8 Q2 ORTHOPEDICS
SICOT-J Pub Date : 2023-01-01 Epub Date: 2023-11-30 DOI:10.1051/sicotj/2023028
Mohamed Hussein Fadel, Mohamed Hassan Hashem, Ahmed Ramy
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引用次数: 0

摘要

背景:小儿忽视非愈合的肱骨外侧髁骨折是导致肘外翻畸形的可能原因,这是一种致残并发症。这种情况的理想治疗方法仍有争议。本研究旨在评估应用三皮质髂骨移植物重建小儿非愈合肱骨外侧髁骨折合并肘外翻的疗效。患者和方法:本研究纳入了20例肱骨外侧髁不愈合骨折后并发肘外翻的患儿。他们通过切开复位、螺钉固定和自体髂三皮质骨移植物重建进行治疗。我们使用Mayo肘关节表现指数比较术前和术后肘关节的活动范围、对齐和肘关节功能。结果:术后肘关节活动度有统计学意义的改善,肘关节对齐和功能有高度显著的改善。结论:切开复位、螺钉固定、自体髂三皮质骨移植重建是治疗小儿肱骨外侧髁不愈合性骨折所致肘外翻的有效方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Correction of cubitus valgus and reconstruction of lateral humerus condylar defect using tricortical iliac graft in pediatric patients.

Background: Neglected non-united lateral humeral condyle fractures in pediatrics are a probable cause of cubitus valgus deformity which is a disabling complication. The ideal management for this condition is still debatable. This study aimed to evaluate the reconstruction of a non-united lateral humerus condylar fracture complicated by cubitus valgus using a tricortical iliac crest graft in pediatric patients.

Patients and methods: Twenty children suffering from cubitus valgus as a complication after a non-united fracture of the lateral humeral condyle were included in this study. They were managed by open reduction, screw fixation, and reconstruction by an autologous tricortical iliac bone graft. We compared the preoperative and postoperative range of motion of the elbow, alignment, and elbow function using the Mayo elbow performance index.

Results: There was a statistically significant improvement in the elbow range of motion postoperatively, and there was a highly significant improvement regarding the elbow alignment and function.

Conclusion: Open reduction, screw fixation, and reconstruction by the autologous tricortical iliac bone graft is an effective technique for the management of cubitus valgus due to neglected non-united lateral humeral condyle fractures in pediatrics.

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来源期刊
SICOT-J
SICOT-J ORTHOPEDICS-
CiteScore
3.20
自引率
12.50%
发文量
44
审稿时长
14 weeks
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