| PACS和Photoshop辅助下等腰三角形截骨并克氏针张力扣固定治疗儿童肘内翻 |
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投稿时间：2021-11-26
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| 作者 | Author | 单位 | Address | E-Mail |
| 张传维 |
ZHANG Chuan-wei |
洛阳正骨医院 河南省骨科医院郑州院区小儿骨科, 河南 郑州 450000 |
Department of Child Orthopedics, Luoyang Orthopedic-Traumatological Hospital of Henan Province Henan Provincial Orthopedic Hospital Zhengzhou Hospital District, Zhengzhou 450000, Henan, China |
zhangchuanwei2019@163.com |
| 丁幸坡 |
DING Xing-po |
洛阳正骨医院 河南省骨科医院郑州院区小儿骨科, 河南 郑州 450000 |
Department of Child Orthopedics, Luoyang Orthopedic-Traumatological Hospital of Henan Province Henan Provincial Orthopedic Hospital Zhengzhou Hospital District, Zhengzhou 450000, Henan, China |
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| 陈登山 |
CHEN Deng-Shan |
洛阳正骨医院 河南省骨科医院郑州院区小儿骨科, 河南 郑州 450000 |
Department of Child Orthopedics, Luoyang Orthopedic-Traumatological Hospital of Henan Province Henan Provincial Orthopedic Hospital Zhengzhou Hospital District, Zhengzhou 450000, Henan, China |
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| 王磊 |
WANG Lei |
洛阳正骨医院 河南省骨科医院郑州院区小儿骨科, 河南 郑州 450000 |
Department of Child Orthopedics, Luoyang Orthopedic-Traumatological Hospital of Henan Province Henan Provincial Orthopedic Hospital Zhengzhou Hospital District, Zhengzhou 450000, Henan, China |
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| 期刊信息：《中国骨伤》2023年，第36卷，第2期，第181-184页 |
| DOI：10.12200/j.issn.1003-0034.2023.02.017 |
| 基金项目: |
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中文摘要:
目的：应用影像归档和通信系统(picture archiving and communication system,PACS)和Photoshop系统辅助等腰三角形截骨并克氏针张力扣固定治疗儿童肘内翻的疗效分析。
方法：回顾性分析自2014年10月至2019年10月采用肱骨远端等腰三角形截骨并克氏针张力扣固定治疗儿童肘内翻20例的临床资料,男13例,女7例;年龄3.2~13.5岁,中位数6.65岁;左侧12例,右侧8例。均为肱骨远端骨折畸形愈合后的远期并发症。术前用PACS系统设计截骨,模拟测量顶角位置及底边长度。再将图片导入Photoshop系统,画出术后模拟效果图,指导模拟截骨。
结果：20例患儿均获得随访,时间20~24个月,中位数22.5个月。最后一次复查时患肢提携角5°~13°,中位数8.3°。疗效根据Flynn肘关节功能评分标准评价:优16例,良2例,可2例。
结论：PACS和Photoshop系统辅助下等腰三角形截骨并克氏针张力扣固定治疗儿童肘内翻取得良好的临床疗效。 |
| 【关键词】肘内翻 等腰三角形截骨 影像归档和通信系统 |
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| PACS and Photoshop assisted isosceles triangle osteotomy and Kirschner wire tension buckle fixation in the treatment of cubitus varus in children |
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ABSTRACT
Objective To investigate the clinical efficacy of picture archiving and communication system (PACS) and Photoshop assisted isosceles triangle osteotomy and Kirschner wire fixation with tension band in the treatment of cubitus varus in children.
Methods The clinic data of 20 children with cubitus varus treated with isosceles triangle osteotomy of distal humerus and Kirschner wire fixation with tension band from October 2014 to October 2019,were retrospectively analyzed.There were 13 males and 7 females,aged from 3.2 to 13.5 years old,the median age was 6.65 years old.PACS system was applied for the osteotomy design preoperatively,simulating and measuring the side length of isosceles triangle osteotomy.Then,Photoshop system was used to simulate the preoperative and postoperative osteotomy graphics,which could guide precise osteotomy during operation.
Results All the 20 patients were followed up for 20 to 24 months,with a median of 22.5 months.At the last follow-up,the carrying angle of the affected limb was 5 ° to 13 °,with a median of 8.3 °.The clinical efficacy was evaluated according to the Flynn elbow function score:excellent in 16 cases,good in 2 cases,and fair in 2 cases.
Conclusion The treatment of cubitus varus in children by isosceles triangle osteotomy and Kirschner wire fixation with tension band assisted by PACS and Photoshop system has shown good clinical outcome. |
| KEY WORDS Cubitus varus Isoscelic triangle osteotomy PACS |
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| 引用本文，请按以下格式著录参考文献： |
| 中文格式: | 张传维,丁幸坡,陈登山,王磊.PACS和Photoshop辅助下等腰三角形截骨并克氏针张力扣固定治疗儿童肘内翻[J].中国骨伤,2023,36(2):181~184 |
| 英文格式: | ZHANG Chuan-wei,DING Xing-po,CHEN Deng-Shan,WANG Lei.PACS and Photoshop assisted isosceles triangle osteotomy and Kirschner wire tension buckle fixation in the treatment of cubitus varus in children[J].zhongguo gu shang / China J Orthop Trauma ,2023,36(2):181~184 |
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