Zhou Xiaoyu,Zhu Guanghui,Mei Haibo.Research advances of guided growth technique in the correction of bone angular deformities in children[J].Journal of Clinical Pediatric Surgery,2024,(09):886-892.[doi:10.3760/cma.j.cn101785-202311027-016]
引导生长技术矫正儿童骨骼成角畸形的研究进展
- Title:
- Research advances of guided growth technique in the correction of bone angular deformities in children
- Keywords:
- Angular Deformity of Bone; Guided Growth Technique; Child
- 摘要:
- 儿童骨骼成角畸形(angular deformity of bone,ADB)是由于各种因素导致的骨骼发育不均衡,临床表现为肢体力线异常。引导生长技术(guided growth technique,GGT)是一种通过固定部分骺板,阻止固定侧骨骼生长,保留同一骨骼对侧生长,从而逐渐矫正肢体成角畸形的外科技术。GGT治疗ADB具有操作简单、微创、并发症少、可有效减少或避免截骨等特点。近年来,GGT已逐渐应用于各种成角畸形的治疗中,最常用于膝关节,其次为踝关节、髋关节和脊柱,用于矫正旋转畸形的研究也有了一定进展,而植入物的不断改进进一步促进了GGT的发展。本文就GGT矫正儿童ADB的研究进展进行综述。
- Abstract:
- Pediatric bone angular deformity (ADB) is caused by a variety of factors due to uneven bone development.A major clinical manifestation is an abnormality of extremity physical line.Guided growth technique (GGT) is a surgical technique of fixing part of epiphyseal plate for preventing the growth of fixed side bone and retaining the contralateral growth of the same bone so as to gradually correct the angular deformity of extremities.GGT offers the advantages of simple operation,mini-invasiveness,fewer complications,effective reduction and an avoidance of osteotomy.In recent years,GGT has been gradually applied for a variety of angular deformities.The most common target sites include around knee joint,followed by ankle,hip joint and spine.Some progress has been achieved for correcting rotational deformity.Continuous improvement of implants has also further contributed to the development of GGT.This review summarized the latest advances and future perspectives of applying GGT for ADB in children.
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备注/Memo
收稿日期:2023-11-6。
基金项目:2022年湖南省卫生适宜技术推广项目(202218015912);儿童骨科学湖南省重点实验室专项经费(2023TP1019);湖南省儿童肢体畸形临床医学研究中心(2019SK4006)
通讯作者:梅海波,Email:meihaibo@sohu.com