PDF(Pubmed)
Abstract：
UNASSIGNED: To investigate effectiveness of picture archiving and communication systems (PACS) in lateral wedge osteotomy for cubitus varus deformity in teenagers.
UNASSIGNED: A clinical data of 16 teenagers with cubitus varus deformity between July 2014 and July 2016 was retrospectively analyzed. All patients were treated with lateral wedge osteotomy and fixed with plate. Before operation, the osteotomy design (the osteotomy angle and length) was done in the PACS, including the carrying angle of healthy limb and the varus angle of affected side. There were 10 males and 6 females, with an average age of 11.4 years (range, 10-17 years). The disease duration ranged from 2 to 10 years (mean, 5.6 years). The preoperative X-ray film showed that the supracondylar fractures of the humerus had all healed, and 9 cases had internal rotation deformity; the varus angle of the affected side was 19.5°-33.5°. After operation, the fracture healing and cubitus varus deformity correction were observed by X-ray films, the elbow function was evaluated by Mayo scoring, and the elbow range of motion was detected.
UNASSIGNED: There was no significant difference between the actual intraoperative osteotomy angle and length and the preoperative design ( P>0.05). The hospital stay was 2-8 days, with an average of 4.5 days. No complication such as incision infection or ulnar nerve injury occurred. All 16 cases were followed up 12-18 months, with an average of 14 months. X-ray films showed that the osteotomy healed at 2-7 months after operation, with an average of 2.5 months. The internal fixators were removed within 8-14 months after operation (mean, 12.0 months). X-ray films measurement showed that the carrying angle of the affected side recovered to (10.3±2.0)° at 1 day after operation, which was not significantly different from that of the healthy side [(10.6±1.5)°] before operation ( t=0.480, P=0.637). The carrying angle of the affected side was (9.8±2.6)° at 1 year after operation, which was not significantly different from that of the healthy side [(10.4±1.6)°] at the same time point ( t=0.789, P=0.438). At 1 year after operation, the ranges of flexion and extension of affected side were (131.6±8.4)° and (6.4±2.6)°, respectively; and the ranges of flexion and extension of healthy side were (134.2±6.3)° and (5.9±2.2)°, respectively. There was no significant difference between the healthy and affected sides ( t=1.143, P=0.262; t=0.587, P=0.561). The elbow joint function at 1 year after operation evaluated by Mayo scoring standard rated as excellent in 9 cases, good in 6 cases, and fair in 1 case, and the excellent and good rate was 93.7%.
UNASSIGNED: Before lateral wedge osteotomy, the PACS is used to design the osteotomy angle and length, which can guide the operation and make the osteotomy more accurate and simple.
UNASSIGNED: 探讨影像存储传输系统（picture archiving and communication systems，PACS）用于青少年肘内翻畸形肱骨外侧楔形截骨矫形术前设计的效果。.
UNASSIGNED: 回顾分析 2014 年 7 月—2016 年 7 月收治的 16 例肱骨髁上骨折后肘内翻畸形青少年患者临床资料，术前均采用 PACS 测量健侧提携角、患侧内翻角，计算截骨角度以及长度，并指导术中操作。男 10 例，女 6 例；年龄 10～17 岁，平均 11.4 岁。病程 2～10 年，平均 5.6 年。术前 X 线片示肱骨髁上骨折均已愈合，其中 9 例伴内旋畸形；患侧内翻角为 19.5°～33.5°。术后定期复查 X 线片，观察骨折愈合及肘内翻畸形矫正情况；采用 Mayo 评分评价肘关节功能，测量肘关节活动度。.
UNASSIGNED: 术中实际截骨角度及长度与术前设计比较，差异均无统计学意义（ P>0.05）。术后住院时间 2～8 d，平均 4.5 d。切口均Ⅰ期愈合，无切口感染及尺神经损伤等并发症发生。16 例均获随访，随访时间 12～18 个月，平均 14 个月。X 线片复查示截骨均获骨性愈合，愈合时间 2～7 个月，平均 2.5 个月。截骨愈合后于 8～14 个月取出内固定物，平均 12.0 个月。X 线片测量示术后 1 d 患侧提携角恢复至（10.3±2.0）°，与术前健侧（10.6±1.5）° 比较差异无统计学意义（ t=0.480， P=0.637）；术后 1 年患侧提携角为（9.8±2.6）°，与同期健侧（10.4±1.6）° 比较差异无统计学意义（ t=0.789， P=0.438）。术后 1 年，患侧肘关节活动范围达屈（131.6±8.4）°、伸（6.4±2.6）°，健侧肘关节分别为（134.2±6.3）°、（5.9±2.2）°，健患侧间比较差异均无统计学意义（ t=1.143， P=0.262； t=0.587， P=0.561）；肘关节功能按 Mayo 评分评定：优 9 例、良 6 例、可 1 例，优良率为 93.7%。.
UNASSIGNED: 青少年肘内翻畸形外侧楔形截骨矫形术前采用 PACS 设计截骨角度及长度，能指导手术操作，使截骨更精确、简便。.
UNASSIGNED: A clinical data of 16 teenagers with cubitus varus deformity between July 2014 and July 2016 was retrospectively analyzed. All patients were treated with lateral wedge osteotomy and fixed with plate. Before operation, the osteotomy design (the osteotomy angle and length) was done in the PACS, including the carrying angle of healthy limb and the varus angle of affected side. There were 10 males and 6 females, with an average age of 11.4 years (range, 10-17 years). The disease duration ranged from 2 to 10 years (mean, 5.6 years). The preoperative X-ray film showed that the supracondylar fractures of the humerus had all healed, and 9 cases had internal rotation deformity; the varus angle of the affected side was 19.5°-33.5°. After operation, the fracture healing and cubitus varus deformity correction were observed by X-ray films, the elbow function was evaluated by Mayo scoring, and the elbow range of motion was detected.
UNASSIGNED: There was no significant difference between the actual intraoperative osteotomy angle and length and the preoperative design ( P>0.05). The hospital stay was 2-8 days, with an average of 4.5 days. No complication such as incision infection or ulnar nerve injury occurred. All 16 cases were followed up 12-18 months, with an average of 14 months. X-ray films showed that the osteotomy healed at 2-7 months after operation, with an average of 2.5 months. The internal fixators were removed within 8-14 months after operation (mean, 12.0 months). X-ray films measurement showed that the carrying angle of the affected side recovered to (10.3±2.0)° at 1 day after operation, which was not significantly different from that of the healthy side [(10.6±1.5)°] before operation ( t=0.480, P=0.637). The carrying angle of the affected side was (9.8±2.6)° at 1 year after operation, which was not significantly different from that of the healthy side [(10.4±1.6)°] at the same time point ( t=0.789, P=0.438). At 1 year after operation, the ranges of flexion and extension of affected side were (131.6±8.4)° and (6.4±2.6)°, respectively; and the ranges of flexion and extension of healthy side were (134.2±6.3)° and (5.9±2.2)°, respectively. There was no significant difference between the healthy and affected sides ( t=1.143, P=0.262; t=0.587, P=0.561). The elbow joint function at 1 year after operation evaluated by Mayo scoring standard rated as excellent in 9 cases, good in 6 cases, and fair in 1 case, and the excellent and good rate was 93.7%.
UNASSIGNED: Before lateral wedge osteotomy, the PACS is used to design the osteotomy angle and length, which can guide the operation and make the osteotomy more accurate and simple.
UNASSIGNED: 探讨影像存储传输系统（picture archiving and communication systems，PACS）用于青少年肘内翻畸形肱骨外侧楔形截骨矫形术前设计的效果。.
UNASSIGNED: 回顾分析 2014 年 7 月—2016 年 7 月收治的 16 例肱骨髁上骨折后肘内翻畸形青少年患者临床资料，术前均采用 PACS 测量健侧提携角、患侧内翻角，计算截骨角度以及长度，并指导术中操作。男 10 例，女 6 例；年龄 10～17 岁，平均 11.4 岁。病程 2～10 年，平均 5.6 年。术前 X 线片示肱骨髁上骨折均已愈合，其中 9 例伴内旋畸形；患侧内翻角为 19.5°～33.5°。术后定期复查 X 线片，观察骨折愈合及肘内翻畸形矫正情况；采用 Mayo 评分评价肘关节功能，测量肘关节活动度。.
UNASSIGNED: 术中实际截骨角度及长度与术前设计比较，差异均无统计学意义（ P>0.05）。术后住院时间 2～8 d，平均 4.5 d。切口均Ⅰ期愈合，无切口感染及尺神经损伤等并发症发生。16 例均获随访，随访时间 12～18 个月，平均 14 个月。X 线片复查示截骨均获骨性愈合，愈合时间 2～7 个月，平均 2.5 个月。截骨愈合后于 8～14 个月取出内固定物，平均 12.0 个月。X 线片测量示术后 1 d 患侧提携角恢复至（10.3±2.0）°，与术前健侧（10.6±1.5）° 比较差异无统计学意义（ t=0.480， P=0.637）；术后 1 年患侧提携角为（9.8±2.6）°，与同期健侧（10.4±1.6）° 比较差异无统计学意义（ t=0.789， P=0.438）。术后 1 年，患侧肘关节活动范围达屈（131.6±8.4）°、伸（6.4±2.6）°，健侧肘关节分别为（134.2±6.3）°、（5.9±2.2）°，健患侧间比较差异均无统计学意义（ t=1.143， P=0.262； t=0.587， P=0.561）；肘关节功能按 Mayo 评分评定：优 9 例、良 6 例、可 1 例，优良率为 93.7%。.
UNASSIGNED: 青少年肘内翻畸形外侧楔形截骨矫形术前采用 PACS 设计截骨角度及长度，能指导手术操作，使截骨更精确、简便。.
摘要：
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