PACS系统在改良等腰三角形截骨治疗肘内翻中的辅助应用

发布时间：2018-05-30 04:12

本文选题：PACS系统 + 肘内翻　；参考：《中国矫形外科杂志》2017年19期

【摘要】：[目的]探讨PACS系统在改良肱骨髁上等腰三角形截骨矫形联合锁定钢板内固定治疗肘内翻畸形中的辅助应用效果。[方法]回顾性分析本院2012年1月~2015年12月应用PACS系统在改良肱骨髁上等腰三角形截骨矫形联合锁定钢板内固定治疗27例肘内翻畸形的临床资料,术前使用PACS系统辅助对肘内翻患者进行改良肱骨髁上等腰三角形截骨设计,依据截骨角度计算等腰三角形截骨底边的长度,测量出截骨角度及长度,术中均行外侧切开改良等腰三角形截骨矫形联合锁定钢板内固定术。[结果]患者截骨处均获骨性愈合,愈合时间7~12周,平均9周。本组获随访12~36个月,平均15个月,末次随访时提携角8°~15°,平均11°。术后1年均采用Mayo肘关节功能评分标准(MEPS)评估手术疗效:优19例,良7例,中1例,优良率96.3%。[结论]术前辅助应用PACS系统对肘内翻患者进行改良肱骨髁上等腰三角形截骨设计,可以精确指导术中截骨角度及长度,能取得良好治疗效果。
[Abstract]:[objective] to evaluate the effect of PACS system in the treatment of cubitus varus deformity with modified supracondylar isosceles triangle osteotomy combined with locking plate fixation. [methods] the clinical data of 27 cases of cubitus varus deformity treated with modified supracondylar osteotomy combined with locking plate with PACS system from January 2012 to December 2015 were retrospectively analyzed. The modified supracondylar isosceles triangle osteotomy design was performed with PACS system before operation. The length of the underside of the isosceles triangle osteotomy was calculated according to the osteotomy angle, and the angle and length of the osteotomy were measured. Lateral incision and modified isosceles triangle osteotomy combined with locking plate fixation were performed. [results] Bone healing was achieved at the osteotomy site, and the healing time was 7 ~ 12 weeks with an average of 9 weeks. The patients were followed up for 12 ~ 36 months (mean 15 months). At the last follow-up, the carrying angle was 8 掳and 15 掳, with an average of 11 掳. One year after operation, Mayo elbow function score was used to evaluate the effect of the operation: excellent in 19 cases, good in 7 cases, moderate in 1 case, excellent and good rate was 96.33.3%. [conclusion] the modified design of supracondylar isosceles triangle osteotomy of humerus with PACS system before operation can accurately guide the angle and length of osteotomy during operation and obtain good therapeutic effect.
【作者单位】：中国人民解放军武汉总医院;
【分类号】：R687.3

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