Updates on preoperative planning, limb deformity analysis and surgical correction for the growing children
| Autor: | Eitan Segev |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
030222 orthopedics
medicine.medical_specialty Preoperative planning medicine.diagnostic_test business.industry Physical examination Magnetic resonance imaging Surgical correction Limb deformity 030218 nuclear medicine & medical imaging Surgery 03 medical and health sciences 0302 clinical medicine Pediatrics Perinatology and Child Health Orthopedic surgery medicine Deformity Orthopedics and Sports Medicine Growth plates Radiology medicine.symptom business |
| Zdroj: | Journal of Children's Orthopaedics. 10:493-498 |
| ISSN: | 1863-2548 1863-2521 |
| DOI: | 10.1007/s11832-016-0795-8 |
| Popis: | Successful deformity correction depends on establishing the aetiology of the deformity. Clinical examination, additional laboratory tests and consultation with other experts may be needed to complete the workup. Imaging studies should include full-length standing X-rays in all relevant planes, and additional imaging modalities like computed tomography (CT) and magnetic resonance imaging (MRI) may add information on bone morphology and growth plates’ anatomy. Based on the data, analysis of the deformity and length differences is performed, followed by prediction of deformities at skeletal maturity. The patients need to be followed up on a regular basis and repeat analysis should be done to improve the accuracy of prediction for final limb length difference. Limb deformity and lengthening correction plans are drawn and updated during follow-up, to achieve straight and equal lower limbs at maturity. Timely surgical procedures are performed using appropriate techniques and the most modern technologies available. These principles are discussed and demonstrated with case examples. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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