Mesh : Adolescent Male Humans Child Lower Extremity Femur / surgery Device Removal Cerebral Palsy / complications Contracture Suture Anchors

来  源:   DOI:10.2106/JBJS.CC.23.00106

Abstract:
A 14-year-old adolescent boy with left-sided spastic hemiplegic cerebral palsy presented with a 14° left knee flexion contracture and resultant gait disturbance in the setting of an open distal femoral physis. He underwent subsequent anterior distal femur hemiepiphysiodesis with a suture anchor-based, nonmetallic implant. He achieved full correction at the 1-year follow-up and underwent uncomplicated implant removal.
A low-profile, suture-based implant used for pediatric knee flexion deformity may allow surgeons to control growth in a reversible fashion by tensioning the physis while possibly avoiding some of the complications associated with currently used implants.
摘要:
方法:一名14岁的青少年男孩,患有左侧痉挛性偏瘫性脑瘫,表现为14°左膝屈曲挛缩,并在开放的股骨远端胫骨中导致步态障碍。他随后接受了基于缝合锚的股骨远端前半表皮固定术,非金属植入物。在1年的随访中,他实现了完全矫正,并进行了简单的植入物移除。
结论:低调,用于儿童膝关节屈膝畸形的缝合植入物可以使外科医生通过拉紧植骨张力以可逆的方式控制生长,同时可能避免与目前使用的植入物相关的一些并发症.
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