逆行插入法用于股骨远端半月板切除术：病例报告。

Q4 Medicine JBJS case connector Pub Date : 2024-08-29 eCollection Date: 2024-07-01 DOI:10.2106/JBJS.CC.24.00085

Kellen T Krajewski, Scott Miller, Radomir Dimovski, Jason Rhodes, Sayan De

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引用次数: 0

摘要

病例：一名患有痉挛性偏瘫脑瘫（CP）的 13 岁少年，出现蹲踞步态和双侧膝关节屈曲挛缩（KFCs）。保守治疗无效后，患者被转到骨科接受手术治疗。采用逆行入路进行了股骨前远端半腓骨切除术（ADFH），并进行了双侧Strayer腓肠肌缩窄术。手术和随访期间未发现并发症。手术后膝关节完全外展，步态得到改善：结论：KFC在行动不便的CP患者中很普遍，会降低步态功能。逆行 ADFH 是减少 KFC 和改善步态的有效手术干预措施，与传统的逆行技术相比，其插入/移除更为简单。

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Retrograde Insertion Approach for Anterior Distal Femoral Hemiepiphysiodesis Procedure: A Case Report.

Case: A 13-year-old adolescent boy with spastic diplegic cerebral palsy (CP) presented with crouch gait and bilateral knee flexion contractures (KFCs). After failure of conservative treatments, the patient was referred to orthopaedics for surgical intervention. Anterior distal femoral hemiepiphysiodesis (ADFH), using a retrograde approach, and Strayer gastrocnemius recession were performed bilaterally. No complications were reported during surgery/follow-up. Full-active knee extension and improved gait were achieved.

Conclusion: KFC is prevalent in ambulatory patients with CP, reducing gait function. Retrograde ADFH is an effective surgical intervention to reduce KFC and improve gait, and offers simpler insertion/removal than the traditional antegrade technique.

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来源期刊

JBJS case connector Medicine-Medicine (all)

CiteScore

0.60

自引率

0.00%

发文量

319

期刊介绍： JBJS Case Connector helps improve patient care by providing the medical community with a journal that harnesses technology to provide information tools for discovery and reporting of unusual musculoskeletal problems, findings, treatment, and outcomes. Co-edited by Thomas W. Bauer, MD, PhD, and Ronald W. Lindsey, MD, JBJS Case Connector assists orthopaedic surgeons in the search for precedents, connections, and trends in their efforts to improve patient care. Using this unique journal, surgeons can find the commonalities between cases, benefit from the experience of their peers, and filter case information by many important variables in order to provide the best possible care for orthopaedic patients. This cross-referenced online journal includes thousands of orthopaedic case reports. It compiles symptoms, conditions, and demographic details to empower surgeons to find cases similar to theirs. Surgeons can mine the database to reveal emerging trends and identify patterns, distinguishing between truly rare cases and repeated, related single instances of a larger problem. The JBJS Case Connector Image Quiz feature provides interactive quizzes based on images from content published by JBJS and includes a discussion area for further exploration of ideas and concepts. The JBJS Image Quiz app for iPad and iPhone is available in the App Store. Contributions to JBJS Case Connector are welcomed from anywhere in the world and are considered on their merits. Articles must be written in English and should be submitted as outlined in the Instructions to Authors. All authors must abide by the JBJS ethics policies and all submissions to JBJS Case Connector are covered by the JBJS embargo policy.