Zeng Lingrong,Li Renfei,Tan Xiaoqian,et al.Application of robot-assisted distal lateral 8-shaped plate hemiepiphysiodesis for congenital anterolateral bowing of the tibia in children[J].Journal of Clinical Pediatric Surgery,2026,(01):26-29.[doi:10.3760/cma.j.cn101785-202505019]
机器人辅助下胫骨远端外侧“8”字钢板半骨骺阻滞术治疗儿童先天性胫骨前外侧弓状畸形
- Title:
- Application of robot-assisted distal lateral 8-shaped plate hemiepiphysiodesis for congenital anterolateral bowing of the tibia in children
- 摘要:
- 目的 初步探讨机器人辅助下行胫骨远端外侧“8”字钢板半骨骺阻滞术治疗儿童先天性胫骨前外侧弓状畸形的疗效。方法 对2023年11月至2024年9月在湖南省儿童医院接受“天玑”机器人辅助下行胫骨远端外侧“8”字钢板半骨骺阻滞术治疗的儿童先天性胫骨前外侧弓状畸形患者临床资料进行回顾性分析,总结手术经验,并随访预后情况。结果 6例均顺利完成手术,男4例、女2例,接受手术时平均年龄1岁3个月,术前和术后冠状位上胫骨成角差异有统计学意义[(33.68±11.00)°比(22.12±14.93)°,t=3.994,P＜0.05]。无一例切口感染、内固定失效及断裂、胫骨远端骨骺骨桥形成、踝关节脱位等并发症发生。结论 机器人辅助下胫骨远端“8”字钢板半骨骺阻滞术可作为儿童先天性胫骨前外侧弓状畸形的治疗选择。
- Abstract:
- Objective To explore the approach and efficacy of robot-assisted distal lateral tibial 8-shaped plate hemiepiphysiodesis for treating children with congenital anterolateral bowing of the tibia. Methods A retrospective study was conducted for the relevant clinical data of six children with congenital anterolateral bowing of the tibia treated with "Tianji" robot-assisted distal lateral tibial 8-shaped plate hemiepiphysiodesis with congenital anterolateral bowing of the tibia from November 2023 to September 2024.The surgical experiences and follow-up outcomes were analyzed. Results There were 4 boys and 2 girls with an average age of 15(4-33) month.At the last follow-up,statistically significant difference in tibial angle formation existed in coronal position as compared to preoperative tibial angle formation[(33.68±11.00)° vs. (22.12±14.93)°,t=3.994,P＜0.05].None of them had an onset of infection,internal fixation failure or fracture,distal tibial epiphyseal bridge formation or ankle dislocation. Conclusions Robot-assisted distal lateral 8-shaped plate hemiepiphysiodesis surgery for distal tibia is efficacious for children with congenital anterolateral bowing of the tibia.
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备注/Memo
收稿日期:2025-5-13。
基金项目:儿童骨科学湖南省重点实验室开放课题(2023TP1019);芙蓉实验室科技项目(2023SK2111);湖南省儿童肢体畸形临床医学研究中心(2019SK4006);湖南省卫生健康科研课题(20256815)
通讯作者:杨戈,Email:455355092@qq.com