■Cubitusvarus,儿童常见的创伤后肘部畸形,对患者和外科医生都提出了挑战。阶梯式截骨术已成为解决这种情况的合理手术技术,提供多种方法和修改。
■我们对肘内翻的阶梯式截骨技术进行了全面的系统评价,分析13项符合我们纳入标准的研究。这些研究涵盖了不同的患者人群,包括儿科和成人病例,跨越不同的地理区域。
■我们的系统评价探讨了三种主要的截骨技术-经典的阶梯式截骨,反向V截骨术,和改良的阶梯式截骨术-以及他们的修改,为外科医生提供有价值的个性化矫正选择。功能结果展示了运动范围的改善,功能分数,和携带角度,强调该技术在恢复肘关节功能和提高生活质量方面的功效。放射学评估显示各种角度的成功矫正和骨结合的实现,加强稳定性和解剖学的改善,实现了通过阶梯式截骨术。
■并发症发生率明显较低,短暂性神经麻痹是最常见的,通常在几个月内解决。植入失败和其他并发症很少见,强调阶梯式截骨术作为肘内翻手术的安全性和可靠性。虽然回顾性研究的优势和纳入研究的异质性值得谨慎,我们的系统综述提供了一个稳健而多样的综合证据.强调了阶梯式截骨术在治疗肘内翻畸形中的重要性,强调它的多功能性,有利的结果,和安全概况。通过严格的设计和更长的随访时间进行进一步的研究将增强我们对阶梯式截骨术在肘内翻矫正中的作用的理解。
UNASSIGNED: Cubitus varus, a common post-traumatic deformity of the elbow in children, poses challenges for both patients and surgeons. Step cut osteotomy has emerged as a reasonable surgical technique to address this condition, offering multiple approaches and modifications.
UNASSIGNED: We present a comprehensive systematic
review of techniques for step cut osteotomy in cubitus varus, analyzing 13 studies that meet our inclusion criteria. These studies encompass diverse patient populations, including pediatric and adult cases, and span different geographical regions.
UNASSIGNED: Our systematic
review explores three primary osteotomy techniques-Classic Step-Cut Osteotomy, Reverse V Osteotomy, and Modified Step Cut Osteotomy-along with their modifications, providing surgeons with valuable options for individualized correction. Functional outcomes showcase improvements in range of motion, functional scores, and carrying angle, highlighting the technique\'s efficacy in restoring elbow function and enhancing quality of life. Radiological evaluations demonstrate successful corrections of various angles and achievement of bony union, reinforcing the stability and anatomical improvements achieved through step cut osteotomy.
UNASSIGNED: Complication rates are notably low, with transient nerve palsies being the most commonly encountered, often resolving within months. Implant failure and other complications are infrequent, underlining the safety and reliability of step cut osteotomy as a surgical intervention for cubitus varus.While the predominance of retrospective studies and heterogeneity across included studies warrant caution, our systematic
review provides a robust and diverse synthesis of evidence. It underscores the significance of step cut osteotomy in managing cubitus varus deformity, emphasizing its versatility, favourable outcomes, and safety profile. Further research with rigorous designs and longer follow-up periods will enhance our understanding of step cut osteotomy\'s role in cubitus varus correction.