儿科整形外科和创伤学中的可吸收植入物

Q3 Medicine Genij Ortopedii Pub Date : 2023-12-20 DOI:10.18019/1028-4427-2023-29-6-629-634
P. Lascombes, P. Journeau, D. Popkov
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引用次数: 0

摘要

本文旨在介绍我们在儿童创伤学领域使用可吸收植入物的经验,并对最近的文献进行综述。材料和方法 在我们的儿童创伤和骨科,我们用可吸收螺钉(ActivaScrew™)为 7 名长骨骨折的儿童进行了手术。纳入标准是有螺钉固定指征的儿童关节内和关节外骨折。为了准备这篇综述,我们在 PubMed、Scopus、ResearchGate、RSCI 等科学平台以及其他出版产品(Elsevier、Springer)上搜索了信息来源。7 例骨折中有 3 例发生在肘关节,4 例发生在踝关节。术后初期,没有患者出现异常肿胀、发红或组织反应。所有病例的疼痛均在术后第 7 天消失。在正常延迟的情况下,患者可以进行负重和恢复体育活动。3至6周后,骨结合的放射学结果出来了。3 个月后,邻近关节的活动范围与未骨折的对侧相当。讨论 使用可吸收植入物(共聚物或镁)解决了这一问题:不再需要移除植入物。结论 可吸收植入物在儿科的主要适应症仍然是用螺钉固定的骨折和截骨。钢板和髓内钉的发展将扩大其适应症。证据等级证据等级:IV。
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Resorbable implants in paediatric orthopaedics and traumatology
Background Development of resorbable implants for paediatric orthopaedics is promising as there is no need for implant removal.The aim of this paper is to present our experience in resorbable implants in paediatric traumatology, and to make an overview of the recent literature.Material and methods In our department of paediatric traumatology and orthopaedics, we have operated 7 children with fractures of long bones with resorbable screws (ActivaScrew™). The inclusion criteria were intra-articular and juxta-articular fractures in children with an indication for screw fixation. To prepare the review, we searched for information sources at the scientific platforms such as PubMed, Scopus, ResearchGate, RSCI, as well as other published products (Elsevier, Springer).Results The cohort is represented by 7 patients, 4 girls and 3 boys, aged from 5 to 14 years old. The 7 fractures were 3 at the elbow and 4 at the ankle joint. In the immediate postoperative period, no patient presented with abnormal swelling, redness, or tissue reaction. Pain disappeared at day 7 in all cases. Weight-bearing and return to sport activities were allowed in normal delay. Radiological bone union was obtained between 3 and 6 weeks. Range of motion in adjacent joints was comparable to the opposite non-fractured side at 3 months. There were no cases of complications, no infection, and no need for a reoperation.Discussion The use of resorbable implants, either co-polymers or magnesium, solves the problem: removal of implants is not anymore necessary. Resorbable implants are becoming safer as they have good solidity allowing bone union of fractures and osteotomies before their eliminating.Conclusion Main indications of resorbable implants in pediatrics remain fractures and osteotomies fixed with screws. The development of plates and intramedullary nails will enlarge the indications. Level of evidence: IV.
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来源期刊
Genij Ortopedii
Genij Ortopedii Medicine-Surgery
CiteScore
0.70
自引率
0.00%
发文量
104
审稿时长
12 weeks
期刊介绍: Journal’s main goal is to contribute to the development of the contemporary medical science via presentation of fundamental and applied original scientific studies to the scientific and practical medical community that would widen and deepen the understanding of the most important problems in the field of traumatology, orthopaedics, and related specialties. Our journal provides a direct open access to its content which is based on the principle that the open access option promotes global exchange of knowledge and experience. Journal’s strategy: -Development of the journal as a scientific platform for researchers, doctors, post-graduates and residents -Attraction of highly-cited authors to publish their studies -Selection of manuscripts of scientific interest for readers that will impact on journal citation index in RINC -Increase in the portion of publications submitted by foreign authors and studies conducted in association with foreign scientists; growth of citations in the journals that are included into global systems of indexing and reputable databases -Improvement of the Journal’s web site in two languages for a greater accessibility by authors and readers -Introduction of the Journal into global indexing systems
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