[股骨关节置换术后肢体错位的测量方法]。

IF 0.4 4区 医学 Q4 ORTHOPEDICS Acta chirurgiae orthopaedicae et traumatologiae Cechoslovaca Pub Date : 2024-01-01 DOI:10.55095/ACHOT2024/035
J Maléř, M Buk, M Michna, J Skála-Rosenbaum
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引用次数: 0

摘要

骨合成术后股骨明显旋转不良是治疗过程中的严重并发症,会给患者带来一系列后果,并导致其生活质量下降。因此,有必要熟悉术中控制正确旋转的技术,主要是临床和放射学技术,这使我们有可能最大限度地减少旋转误差。在术后阶段,即使有轻微的旋转不良怀疑,也有必要进行确切的核实,并在有指征的情况下进行必要的矫正。我们推荐使用 CT 技术,这是一种非常可靠的方法,但对于年轻患者,我们更倾向于使用核磁共振成像。从可能的重建手术角度来看,早期诊断旋转误差,尤其是其大小至关重要,而重建手术的选择也要考虑到原始病变的位置。关键词:股骨骨合成、肢体旋转不良、测量方法。
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[Methods of Measuring Limb Malrotation Following Femoral Osteosynthesis].

Significant malrotation of the femur after osteosynthesis is a serious complication of treatment and has a number of consequences for the patients and causes deterioration of their quality of life. Therefore, it is necessary to be familiar with intraoperative techniques to control the correct rotation, mostly clinical and radiological, which give us the possibility to minimize rotational errors. In the postoperative period, with even a slight suspicion of malrotation, it is necessary to proceed to its exact verification and, in indicated cases, to perform necessary correction. We recommend one of the CT techniques as a very reliable method, however in younger patients we prefer to use MRI. Early diagnosis of the rotational error and especially its size is essential from the point of view of potential reconstructive surgery, which is then chosen also with regard to the location of the original lesion. Key words: femoral osteosynthesis, limb malrotation, methods of measuring.

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来源期刊
CiteScore
0.70
自引率
25.00%
发文量
53
期刊介绍: Editorial Board accepts for publication articles, reports from congresses, fellowships, book reviews, reports concerning activities of orthopaedic and other relating specialised societies, reports on anniversaries of outstanding personalities in orthopaedics and announcements of congresses and symposia being prepared. Articles include original papers, case reports and current concepts reviews and recently also instructional lectures.
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