Waldegger M, Huber B, Kathrein A, Sitte I
Universitätsklinik für Unfallchirurgie, Anichstrasse 35, A-6020 Innsbruck.
Unfallchirurg. 2001 Mar;104(3):261-5. doi: 10.1007/s001130050724.
Development of an angular deformity around the knee joint, following a posttraumatic premature epiphyseal closure is a rare but serious complication. We present a case report of this complication following a proximal tibial epiphyseal injury in a 9 year old child initially treated conservatively with plaster immobilization. Subsequently, partial closure of epiphysis on medial side resulted in genu varum of 20 degrees, which was treated with medial open wedge osteotomy of the proximal tibia combined with resection of a segment from the proximal fibula, and a percutaneous epiphysiodesis of the proximal tibia and fibula. At three years follow up, the child had shortening of the leg by 1 cm, but no angular deformity. Significance of regular follow-up after an epiphyseal injury to detect the condition and role of operative management with various modalities is discussed.
创伤后骨骺过早闭合后膝关节周围出现角状畸形是一种罕见但严重的并发症。我们报告一例9岁儿童胫骨近端骨骺损伤后出现这种并发症的病例，该患儿最初采用石膏固定保守治疗。随后，内侧骨骺部分闭合导致20度膝内翻，采用胫骨近端内侧开放性楔形截骨术联合近端腓骨部分切除以及胫骨和腓骨近端经皮骨骺阻滞术进行治疗。随访三年时，患儿腿部缩短1厘米，但无角状畸形。本文讨论了骨骺损伤后定期随访以发现病情的重要性以及各种手术治疗方式的作用。
