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骨桥切除、脂肪填塞、截骨矫正治疗小儿骨骺早闭的临床观察 被引量:15

Bone bridge resection, free fat interpositional graft and osteotomy in epiphyseal injuries of growth arrests
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摘要 目的 观察用骨桥切除、脂肪填塞、同时截骨矫正畸形治疗小儿骨骺早闭的远期效果。方法 对骨骺损伤后发生骨骺早闭、肢体畸形的 9例患儿 ,采用骨桥磨除、自体脂肪填塞、同时截骨矫正畸形的方法进行治疗 ,5例平均随访 2 .5年。结果 获随访病例在外观及功能上得到了明显的改善 ,移植于骨桥内的脂肪全部成活 ,患肢发育与健侧基本相同。结论 对骨骺早闭的病例在行骨桥切除、脂肪填塞的同时 ,必须进行截骨矫正畸形 。 Objective To observe the long term results of both free fat graft interposition and osteotomy,the two techniques were used in the management of epiphyseal injuries with established growth disturbances.Methods 9 cases of epiphyseal injuries with established growth disturbances have been treated by using free fat graft interposition and osteotomy. 5 of them were followed up for an average of 2.5 years.Results Obvious improvement in function and the appearance was noted in all cases. The development of the affected limb was nearly normal as compared with that of the unaffected one.Conclusions Osteotomy must be performed simultaneously when free fat graft interposition is used to treat the case of growth arrests after epiphyseal injuries.
出处 《中华小儿外科杂志》 CSCD 北大核心 2001年第2期73-75,共3页 Chinese Journal of Pediatric Surgery
关键词 骨骺早闭 骨桥切除 脂肪填塞 截骨矫正 儿童 治疗 Epiphyses Fat Manipulation,orthopedic
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参考文献4

  • 1Bruce KF,John B,Halster C.Free fat interpositional graft in acute physeal injuries: the anticipatory langenski ld procedure[].Journal of Pediatric Orthopaedics.2000 被引量:1
  • 2Langenski ld A.Role of the ossification groove of Ranvier in normal and pathologic bone growth: a review[].Journal of Pediatric Orthopaedics.1998 被引量:1
  • 3Vickers DW.Premature incomplete fusion of the growth plate: causes and treatment by resection(physiolysis) in fifteen cases[].Australian and New Zealand Journal of Surgery.1980 被引量:1
  • 4Langenski d A.An operation for partial closure of an epiphysial plate in children, and its experimental basis[].Journal of Bone and Joint Surgery British Volume.1975 被引量:1

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