膝关节复发的股骨远端半骺成形术：一种新的手术技术。

IF 0.5 4区医学 Q4 ORTHOPEDICS Acta Ortopedica Brasileira Pub Date : 2023-12-18 eCollection Date: 2023-01-01 DOI:10.1590/1413-785220233105e268307

Nei Botter Montenegro, Talissa Oliveira Generoso, Bárbara Lívia Corrêa Serafim, Amâncio Ramalho

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引用次数: 0

摘要

简介膝关节后凸的特征是膝关节在矢状面上的过度伸展畸形。造成这种畸形的原因包括关节发育不良、脑瘫、脊髓灰质炎、胫骨结节骨折后遗症以及一些全身关节活动过度的综合征。这种畸形的治疗具有挑战性，迄今为止，股骨或胫骨截骨等积极的方法是用于矫正这种畸形的最常用方法：本研究旨在描述一种矫正膝关节后凸的新手术技术：方法：这是一项前瞻性临床研究，研究对象为接受股骨远端后半骺成形术并使用经骺螺钉的儿童：结果：该方法对股骨或关节顶的股骨后凸畸形安全有效：结论：这种方法在矫正发育中骨骼的股骨后凸畸形方面显示出巨大的潜力，是目前治疗这种畸形的激进方法的绝佳替代方案。证据等级 IV，病例系列。

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DISTAL FEMUR HEMIEPIPHYSIODESIS IN KNEE RECURVATUM: A NEW SURGICAL TECHNIQUE.

Introduction: The genu recurvatum is characterized by a hyperextension deformity of the knee in the sagittal plane. Among its causes are conditions such as arthrogryposis, cerebral palsy, poliomyelitis, sequelae of tibial tuberosity fracture and some syndromes with generalized joint hypermobility. Treatment of this deformity can be challenging and, to date, aggressive methods such as femur or tibial osteotomies are the most used for its correction.

Objective: This study aimed to describe a new surgical technique for correcting genu recurvatum.

Methods: This is a prospective clinical study of children who underwent posterior hemiepiphysiodesis of the distal femur with transphyseal screws.

Results: The approach proved to be safe and useful for genu recurvatum deformities, with femoral or articular apex.

Conclusion: This approach shows great potential for correcting genu recurvatum in the developing skeleton, being an excellent alternative to the more aggressive methods currently used to treat this deformity. Level of evidence IV, Case Series.

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来源期刊

Acta Ortopedica Brasileira Orthopedics-

CiteScore

0.90

自引率

14.30%

发文量

审稿时长

25 weeks

期刊介绍： A Revista Acta Ortopédica Brasileira, órgão oficial do Departamento de Ortopedia e Traumatologia da Faculdade de Medicina da Universidade de São Paulo (DOT/FMUSP), é publicada bimestralmente em seis edições ao ano (jan/fev, mar/abr, maio/jun, jul/ago, set/out e nov/dez) com versão em inglês disponível nos principais indexadores nacionais e internacionais e instituições de ensino do Brasil. Sendo hoje reconhecidamente uma importante contribuição para os especialistas da área com sua seriedade e árduo trabalho para as indexações já conquistadas.