镶嵌式外固定器尺骨延长术治疗尺骨远端遗传性多发性骨软骨瘤致前臂畸形的近期临床分析-外科学专业论文.docx

硕十’学位论文英文摘要A bstraCtObjective:To analysistheshort一termeliniealouteomeoftreatingforeann defonnityduetoH ereditary M ultiPleExostosesatthedistalendof the ulna by ulna lengthening w ith inlaied extem alfixator，and toProvideevidenee forclinicalreasonableseleeted theraPy.M ethod:AretrosPeetive studyw ascarried outin 26 Patients(28anns)w ho w ere treated foreann deform ity due to H ereditary M ultiPleExostosesatthe distalend oftheulnaby operationsfrom January2005 toSePtember2009.9Patients(9anns)ineluding5maleand4femaleintheunlengthen grouPthattheaverageageatoPeration was8.5years(from 6to 13 years)were treated only by exeision ofexostoses.17 Patients(19anns)ineluding 9 m ale and 8 fema le in the lengthen gro uP that theaverageageatoPeration w as8.7years(from 2 to 19 years)w eretreatedby exeision ofexostoses an d lengthening the ulna with inlaied ex tem alfixator.Th e follow 一uP visit ine luded X 一ray evaluation and funetionalevaluation beforetheoperation and attheend offollow一即.①X一r盯evaluation:Re lative ulnar shortening(RU S );Radialartieular angle(RA A );C呷alslip(CS).②Funetionalevaluation:therangesofaetivee lbow flexion/extensio n ，foreann Pronation/suP in ation ，w ristflexion/extension，w ristradial一deviation/uInar~deviation and the evaluatedSeore ofK力rnrner.硕十学位论文英文摘要R esult:A llofthe Patients w ere follow ed一uP for 7一15 m onths(average10.3士2.2months)afteroperation.①X一r叮evaluationresultsofPatients:R U S、R A A and C S alldeereased notablelyafteroPeration in thelengthen grouP.In the unlengthen grouP there w as only R U S w hichdeereasedlittle.Th e eorr eetion ofthe shortening ofthe uina，bowing ofthe radius，ulnar tiltofthe distalradialePIPhysisand ulnar translocationofthe carpus in the lengthen grouP w as mu eh betterthan wh ieh in theunlengthen grouP by comP arison of the end of follow 一uP in twogrouPs.An d dislo eation ofthe h ead ofth e radius in 6