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成骨不全症中的索菲尔德-米勒手术。一种改良技术。

The Sofield-Millar operation in osteogenesis imperfecta. A modified technique.

作者信息

Li Y H, Chow W, Leong J C

机构信息

University of Hong Kong and the Duchess of Kent Children's Hospital, Poksulam.

出版信息

J Bone Joint Surg Br. 2000 Jan;82(1):11-6. doi: 10.1302/0301-620x.82b1.9601.

DOI:10.1302/0301-620x.82b1.9601
PMID:10697308
Abstract

We have reviewed the results of the Sofield-Millar operation on 58 long bones in ten patients. If more than three osteotomies were undertaken the time to union of the bone was significantly prolonged (p < 0.001) with significant thinning of the bone (p < 0.02). We have used a modified technique in order to minimise surgical trauma and devascularisation of the bone. The rod is introduced under the control of an image-intensifier. Small surgical exposures are made only at the sites of corrective wedge osteotomies. The number of osteotomies is kept to the minimum.

摘要

我们回顾了对10例患者的58根长骨进行索菲尔德-米勒手术的结果。如果进行了超过三处截骨术,骨愈合时间会显著延长(p < 0.001),且骨明显变薄(p < 0.02)。我们采用了一种改良技术,以尽量减少手术创伤和骨的血运障碍。在影像增强器的控制下插入棒。仅在矫正楔形截骨部位进行小的手术暴露。截骨术的数量保持在最少。

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