Guided growth RECENT ADVANCES IN A DEEP-ROOTED CONCEPT
Guided growth RECENT ADVANCES IN A DEEP-ROOTED CONCEPT
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DOI：
10.1302/0301-620x.93b1.25181
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发表时间：
2011-01-01
影响因子：
--
通讯作者：
Sanghrajka, A. P.
中科院分区：
文献类型：
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作者：
Eastwood, D. M.;Sanghrajka, A. P.
通过利用生长的骨骼经历塑性变形的能力来指导生长是最古老的骨科原则之一。畸形矫正仍然是儿科骨科医生工作量的主要部分，最近，随着肢体重建和计算机指导的框架矫正的发展，人们对生长板操作或“引导生长”的外科方法重新产生了兴趣。操纵自然的骨生长来矫正畸形很有吸引力，因为它允许通过非侵入性或微创的方法逐步矫正。本文综述了当前骨科实践中用于引导生长的技术，包括基础科学和最新进展，包括健康和病理物理的机械生长板操纵。
Guiding growth by harnessing the ability of growing bone to undergo plastic deformation is one of the oldest orthopaedic principles. Correction of deformity remains a major part of the workload for paediatric orthopaedic surgeons and recently, along with developments in limb reconstruction and computer-directed frame correction, there has been renewed interest in surgical methods of physeal manipulation or 'guided growth'. Manipulating natural bone growth to correct a deformity is appealing, as it allows gradual correction by non- or minimally invasive methods.This paper reviews the techniques employed for guided growth in current orthopaedic practice, including the basic science and recent advances underlying mechanical physeal manipulation of both healthy and pathological physes.