UNASSIGNED:评估在桡骨和尺骨处行骨外截骨术后钢板内固定术治疗先天性近端桡骨滑脱症的临床效果。
UNASSIGNED:从2013年1月至2016年1月,共有10例符合资格的先天性近端桡尺骨滑脱症患者(12例前臂)入住我们的机构,并进行了桡尺骨线截骨术,然后进行钢板内固定。男性5例,女性5例,平均年龄5.4±2.0(3-9)岁。平均前臂位置为56.67±14.36°(范围,40°-80°内旋)术前内旋。根据Cleary和Omer的分类系统,3个前臂被归类为II型,7为III型,2为IV型。通过Failla评分系统记录并评估术前和术后前臂功能。
UNASSIGNED:所有纳入患者均成功随访,平均随访时间为73.90±8.24个月(范围,61-84个月)。前臂的平均矫正为53.33°±12.67°(范围,35°-70°)。平均最终位置为3.33°±14.98°(范围,旋前20°到旋前25°)。平均10.38±1.25周(范围,8.4-12.3周),无校正损失。没有发生骨不连,骨髓炎,或神经或循环并发症。1前臂术前功能效果良好,8个前臂公平,3个前臂差。在最后的后续功能评价方面,3个前臂很棒,6个前臂很好,3个前臂是公平的。
UNASSIGNED:先天性下尺尺桡骨近端骨滑症可以使用皮质截骨术和桡骨和尺骨钢板固定术成功治疗,这是一种有效的方法,术后并发症少,临床效果预期。
UNASSIGNED: To evaluate the clinical outcomes of derotational osteotomy followed by plate fixation at the radius and ulna for the treatment of congenital proximal radioulnar synostosis.
UNASSIGNED: A total of 10 eligible patients (12 forearms) with congenital proximal radioulnar synostosis were admitted to our institution from January 2013 to January 2016 and treated by radioulnar derotational osteotomy followed by plate fixation. There were 5 males and 5 females with an average age of 5.4 ± 2.0 (3-9) years old. The average forearm position was 56.67 ± 14.36° (range, 40°-80° pronation) in pronation before surgery. According to the classification system of Cleary and Omer, 3 forearms were categorized as type II, 7 as type III, and 2 as type IV. The pre- and postoperative forearm function was recorded and evaluated by the Failla scoring system.
UNASSIGNED: All included patients were successfully followed up for an average time of 73.90 ± 8.24 months (range, 61-84 months). The mean achieved correction of the forearm was 53.33° ± 12.67° (range, 35°-70°). The average final position was 3.33° ± 14.98° (range, 20° of supination to 25° of pronation) in pronation. Bony union was achieved in a mean of 10.38 ± 1.25 weeks (range, 8.4-12.3 weeks) with no loss of correction. There were no incidences of nonunion, osteomyelitis, or neurologic or circulatory complications. The preoperative functional results were good in 1 forearm, fair in 8 forearms and poor in 3 forearms. In terms of final follow-up functional evaluations, 3 forearms were excellent, 6 forearms were good, and 3 forearms were fair.
UNASSIGNED: Congenital proximal radioulnar synostosis can be successfully treated using derotational osteotomy and plate fixation of the radius and ulna, which is an effective method with fewer postoperative complications and expected clinical outcomes.