Corrective osteotomy for pediatric elbow cubitus varus deformity using custom-made surgical guides; comparison with conventional osteotomies
【はじめに】小児内反肘変形に対するカスタムメイドガイドは，健側CT鏡像から作成されたデバイスを用いることで三次元の矯正が可能であり，手技も簡易化する．当科では2019年1月より本法を施行しており，従来法と比較した．【方法】対象は 6例 6肘．カスタムメイドガイド使用群（Guide群） 3肘，従来法群（C群） 3肘．両群間における手術時間，出血量，術直後の矯正角度，術後合併症を比較，検討した．【結果】平均手術時間は短い傾向にあった．出血量，術直後矯正角度は同等であった．術後合併症は Guide群で K鋼線 back out を 1 肘，C群は一過性尺骨神経麻痺，lateral prominenc...
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| Published in | Journal of Japan Elbow Society Vol. 27; no. 2; pp. 208 - 211 |
|---|---|
| Main Authors | , , , , , |
| Format | Journal Article |
| Language | Japanese |
| Published |
Japan Elbow Society
2020
日本肘関節学会 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1349-7324 2434-2262 |
| DOI | 10.24810/jelbow.27.2_208 |
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| Abstract | 【はじめに】小児内反肘変形に対するカスタムメイドガイドは，健側CT鏡像から作成されたデバイスを用いることで三次元の矯正が可能であり，手技も簡易化する．当科では2019年1月より本法を施行しており，従来法と比較した．【方法】対象は 6例 6肘．カスタムメイドガイド使用群（Guide群） 3肘，従来法群（C群） 3肘．両群間における手術時間，出血量，術直後の矯正角度，術後合併症を比較，検討した．【結果】平均手術時間は短い傾向にあった．出血量，術直後矯正角度は同等であった．術後合併症は Guide群で K鋼線 back out を 1 肘，C群は一過性尺骨神経麻痺，lateral prominence を各 1 肘に認めた．【まとめ】本法を導入したばかりだが従来法と比べて手術時間が短い傾向にあった． |
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| AbstractList | 【はじめに】小児内反肘変形に対するカスタムメイドガイドは，健側CT鏡像から作成されたデバイスを用いることで三次元の矯正が可能であり，手技も簡易化する．当科では2019年1月より本法を施行しており，従来法と比較した．【方法】対象は 6例 6肘．カスタムメイドガイド使用群（Guide群） 3肘，従来法群（C群） 3肘．両群間における手術時間，出血量，術直後の矯正角度，術後合併症を比較，検討した．【結果】平均手術時間は短い傾向にあった．出血量，術直後矯正角度は同等であった．術後合併症は Guide群で K鋼線 back out を 1 肘，C群は一過性尺骨神経麻痺，lateral prominence を各 1 肘に認めた．【まとめ】本法を導入したばかりだが従来法と比べて手術時間が短い傾向にあった． |
| Author | Onaka, Keiko Okubo, Hirotaka Nakasone, Motoko Ikema, Masahide Nishida, Kotaro Kinjo, Masaki |
| Author_FL | 西田 康太郎 大中 敬子 池間 正英 仲宗根 素子 金城 政樹 大久保 宏貴 |
| Author_FL_xml | – sequence: 1 fullname: 大中 敬子 – sequence: 2 fullname: 大久保 宏貴 – sequence: 3 fullname: 金城 政樹 – sequence: 4 fullname: 仲宗根 素子 – sequence: 5 fullname: 池間 正英 – sequence: 6 fullname: 西田 康太郎 |
| Author_xml | – sequence: 1 fullname: Onaka, Keiko organization: Department of Orthopedic Surgery, Graduate school of medicine, University of the Ryukyus – sequence: 1 fullname: Okubo, Hirotaka organization: Department of Orthopedic Surgery, Graduate school of medicine, University of the Ryukyus – sequence: 1 fullname: Nakasone, Motoko organization: Department of Orthopedic Surgery, Graduate school of medicine, University of the Ryukyus – sequence: 1 fullname: Ikema, Masahide organization: Okinawa Chubu Hospital – sequence: 1 fullname: Nishida, Kotaro organization: Department of Orthopedic Surgery, Graduate school of medicine, University of the Ryukyus – sequence: 1 fullname: Kinjo, Masaki organization: Department of Orthopedic Surgery, Graduate school of medicine, University of the Ryukyus |
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| DocumentTitle_FL | 小児内反肘変形に対する患者適合型変形矯正カッティングガイドの治療経験 －従来法との比較 |
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| References | 5) Murase T, Takeyasu Y, Oka K et al: Three-Dimensional Corrective Osteotomy for Cubitus Varus Deformity With Use of Custom-Made Surgical Guides. JBJS Essent Surg Tech. 2014; 4(1): e6. 9) Cha SM, Shin HD, Ahn JS et al: Relationship of Cubitus Varus and Ulnar Varus Deformity in Supracondylar Humeral Fractures According to the Age at Injury. J shoulder Elbow Surg. 2016; 25: 289-96. 3) Omori S., T. Murase, K. Oka et al: Postoperative Accuracy Analysis of Three-Dimensional Corrective Osteotomy for Cubitus Varus Deformity With a Custom-Made Surgical Guide Based on Computer Simulation. J Shoulder Elbow Surg. 2015; 24: 242-9. 10) 堀井恵美子，洪淑貴: 小児期の外傷に起因する後外側回旋不安定症．関節外科．2016; 35: 24-9. 7) 村上寶久: 内・外反肘に対する矯正骨切り術．伊丹康人編．整形外科MOOK 増刊1-C，観血療法 1. 金原出版，東京．1983; p302-9. 2) Omori S, Murase T, Kataoka T et al: Three-dimensional corrective osteotomy using a patient-specific osteotomy guide and bone plate based on a computer simulation system: accuracy analysis in a cadaver study. J Med Robotics Comput Assist Surg. 2014; 10: 196-202. 8) Kawanishi Y, Miyake J, Kataoka T et al: Does Cubitus Varus Cause Morphologic and Alignment Changes in the Elbow Joint? J shoulder elbow surg. 2013; 22: 915-23. 6) Zhang YW, Xiao X, Gao WC et al: Efficacy evaluation of three-dimensional printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity. J Orthop Surg Res. 2019; 14: e353. 1) Oka K, Tanaka H, K et al: Three-Dimensional Corrective Osteotomy for Malunited Fractures of the Upper Extremity Using Patient-Matched Instruments: A Prospective, Multicenter, Open-Label, Single-Arm Trial. J Bone Joint Surg Am. 2019; 101: 710-21. 4) 村瀬剛，森友寿夫，岡久仁洋ほか: 上肢手術における3Dコンピュータシュミレーションの応用．日手会誌．2008; 24: 652-6. |
| References_xml | – reference: 9) Cha SM, Shin HD, Ahn JS et al: Relationship of Cubitus Varus and Ulnar Varus Deformity in Supracondylar Humeral Fractures According to the Age at Injury. J shoulder Elbow Surg. 2016; 25: 289-96. – reference: 4) 村瀬剛，森友寿夫，岡久仁洋ほか: 上肢手術における3Dコンピュータシュミレーションの応用．日手会誌．2008; 24: 652-6. – reference: 3) Omori S., T. Murase, K. Oka et al: Postoperative Accuracy Analysis of Three-Dimensional Corrective Osteotomy for Cubitus Varus Deformity With a Custom-Made Surgical Guide Based on Computer Simulation. J Shoulder Elbow Surg. 2015; 24: 242-9. – reference: 1) Oka K, Tanaka H, K et al: Three-Dimensional Corrective Osteotomy for Malunited Fractures of the Upper Extremity Using Patient-Matched Instruments: A Prospective, Multicenter, Open-Label, Single-Arm Trial. J Bone Joint Surg Am. 2019; 101: 710-21. – reference: 5) Murase T, Takeyasu Y, Oka K et al: Three-Dimensional Corrective Osteotomy for Cubitus Varus Deformity With Use of Custom-Made Surgical Guides. JBJS Essent Surg Tech. 2014; 4(1): e6. – reference: 7) 村上寶久: 内・外反肘に対する矯正骨切り術．伊丹康人編．整形外科MOOK 増刊1-C，観血療法 1. 金原出版，東京．1983; p302-9. – reference: 10) 堀井恵美子，洪淑貴: 小児期の外傷に起因する後外側回旋不安定症．関節外科．2016; 35: 24-9. – reference: 6) Zhang YW, Xiao X, Gao WC et al: Efficacy evaluation of three-dimensional printing assisted osteotomy guide plate in accurate osteotomy of adolescent cubitus varus deformity. J Orthop Surg Res. 2019; 14: e353. – reference: 2) Omori S, Murase T, Kataoka T et al: Three-dimensional corrective osteotomy using a patient-specific osteotomy guide and bone plate based on a computer simulation system: accuracy analysis in a cadaver study. J Med Robotics Comput Assist Surg. 2014; 10: 196-202. – reference: 8) Kawanishi Y, Miyake J, Kataoka T et al: Does Cubitus Varus Cause Morphologic and Alignment Changes in the Elbow Joint? J shoulder elbow surg. 2013; 22: 915-23. |
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| Snippet | 【はじめに】小児内反肘変形に対するカスタムメイドガイドは，健側CT鏡像から作成されたデバイスを用いることで三次元の矯正が可能であり，手技も簡易化する．当科では2019... |
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| SubjectTerms | cubitus varus deformity custom-made surgical guides Patient-Matched Instruments カスタムメイドガイド 内反肘 患者適合型変形矯正カッティングガイド |
| Title | Corrective osteotomy for pediatric elbow cubitus varus deformity using custom-made surgical guides; comparison with conventional osteotomies |
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