腓骨骨棒切除术术中使用 O 型臂

IF 0.2 Q4 ORTHOPEDICS
Brian Richard, Mohammed Abbas, Oluwatobi Odeneye, Tolga Türker
{"title":"腓骨骨棒切除术术中使用 O 型臂","authors":"Brian Richard, Mohammed Abbas, Oluwatobi Odeneye, Tolga Türker","doi":"10.1097/bto.0000000000000670","DOIUrl":null,"url":null,"abstract":"\n \n Growth arrest caused by physeal bar formation in pediatric patients has posed a longstanding challenge in orthopedics. While growth arrest in pediatric distal radius fractures is relatively uncommon, its downstream consequences impact function, pain, and cosmesis. Physeal bar excision can be used to correct and prevent further growth arrest. The results of bar excision have been unreliable due to the difficulty of balancing complete bar resection while minimizing iatrogenic insult to the physis.\n \n \n \n In this article, we present a method utilizing intraoperative computed tomography O-arm for physeal bar excision.\n \n \n \n A 10-year-old boy sustained an open distal radius fracture that was initially stabilized with plates and screws. Two of these screws were transphyseal and resulted in physeal bars and growth arrest. Due to age and the central location of his bars, bar excision was performed with the addition of intraoperative computed tomography. This resulted in a successful outcome with restoration of longitudinal growth of his distal radius.\n \n \n \n This method offers improved localization of physeal bars intraoperatively and, subsequently, more precise bar excision while minimizing the risk of complications.\n","PeriodicalId":45336,"journal":{"name":"Techniques in Orthopaedics","volume":null,"pages":null},"PeriodicalIF":0.2000,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Intraoperative O-arm Use for Physeal Bar Excision\",\"authors\":\"Brian Richard, Mohammed Abbas, Oluwatobi Odeneye, Tolga Türker\",\"doi\":\"10.1097/bto.0000000000000670\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"\\n \\n Growth arrest caused by physeal bar formation in pediatric patients has posed a longstanding challenge in orthopedics. While growth arrest in pediatric distal radius fractures is relatively uncommon, its downstream consequences impact function, pain, and cosmesis. Physeal bar excision can be used to correct and prevent further growth arrest. The results of bar excision have been unreliable due to the difficulty of balancing complete bar resection while minimizing iatrogenic insult to the physis.\\n \\n \\n \\n In this article, we present a method utilizing intraoperative computed tomography O-arm for physeal bar excision.\\n \\n \\n \\n A 10-year-old boy sustained an open distal radius fracture that was initially stabilized with plates and screws. Two of these screws were transphyseal and resulted in physeal bars and growth arrest. Due to age and the central location of his bars, bar excision was performed with the addition of intraoperative computed tomography. This resulted in a successful outcome with restoration of longitudinal growth of his distal radius.\\n \\n \\n \\n This method offers improved localization of physeal bars intraoperatively and, subsequently, more precise bar excision while minimizing the risk of complications.\\n\",\"PeriodicalId\":45336,\"journal\":{\"name\":\"Techniques in Orthopaedics\",\"volume\":null,\"pages\":null},\"PeriodicalIF\":0.2000,\"publicationDate\":\"2024-06-05\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Techniques in Orthopaedics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1097/bto.0000000000000670\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"ORTHOPEDICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Techniques in Orthopaedics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1097/bto.0000000000000670","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"ORTHOPEDICS","Score":null,"Total":0}
引用次数: 0

摘要

儿科患者因骨骺棒形成而导致的生长停滞是矫形外科长期面临的一项挑战。虽然生长停滞在小儿桡骨远端骨折中相对少见,但其下游后果会影响功能、疼痛和外观。腓骨横突切除术可用于矫正和防止进一步的生长停滞。由于很难在完全切除骨骺横突的同时最大限度地减少对骨骺的先天性损伤,因此骨骺横突切除术的结果并不可靠。 在本文中,我们介绍了一种利用术中计算机断层扫描 O 型臂进行趾骨横突切除术的方法。 一名 10 岁男孩桡骨远端开放性骨折,最初用钢板和螺钉固定。其中两枚螺钉是经蝶骨的,导致趾骨横突和生长停滞。由于他的年龄和骨栅的中心位置,在术中使用计算机断层扫描进行了骨栅切除术。手术取得了成功,桡骨远端恢复了纵向生长。 这种方法改进了趾骨骨刺的术中定位,从而使骨刺切除更加精确,同时将并发症的风险降至最低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Intraoperative O-arm Use for Physeal Bar Excision
Growth arrest caused by physeal bar formation in pediatric patients has posed a longstanding challenge in orthopedics. While growth arrest in pediatric distal radius fractures is relatively uncommon, its downstream consequences impact function, pain, and cosmesis. Physeal bar excision can be used to correct and prevent further growth arrest. The results of bar excision have been unreliable due to the difficulty of balancing complete bar resection while minimizing iatrogenic insult to the physis. In this article, we present a method utilizing intraoperative computed tomography O-arm for physeal bar excision. A 10-year-old boy sustained an open distal radius fracture that was initially stabilized with plates and screws. Two of these screws were transphyseal and resulted in physeal bars and growth arrest. Due to age and the central location of his bars, bar excision was performed with the addition of intraoperative computed tomography. This resulted in a successful outcome with restoration of longitudinal growth of his distal radius. This method offers improved localization of physeal bars intraoperatively and, subsequently, more precise bar excision while minimizing the risk of complications.
求助全文
通过发布文献求助,成功后即可免费获取论文全文。 去求助
来源期刊
CiteScore
0.60
自引率
0.00%
发文量
31
期刊介绍: The purpose of Techniques in Orthopaedics is to provide information on the latest orthopaedic procedure as they are devised and used by top orthopaedic surgeons. The approach is technique-oriented, covering operations, manipulations, and instruments being developed and applied in such as arthroscopy, arthroplasty, and trauma. Each issue is guest-edited by an expert in the field and devoted to a single topic.
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信