Fasting O J, Bjerkreim I
Acta Orthop Scand. 1976 Apr;47(2):217-25. doi: 10.3109/17453677608989722.
Four typical cases of dysplasia epiphysealis hemimelica are reported, the age when first examined varying from 18 months to 5 years. The observation periods varied from 3-20 years. After fusion between the accessory ossification centres of the osteochondroma and the regular epiphysis, no further enlargement was observed. In three cases an enlarged medial femoral condyle was resected, in two cases the resection was done through bone, leaving a non-cartilaginous surface in the knee joint. This procedure seems to have no harmful consequences; one of the patients seen 19 years later had no complaints, and the knee joint appeared almost normal on X-rays.
报告了4例典型的半侧肢体骨骺发育异常病例,首次检查时的年龄从18个月至5岁不等。观察期从3年至20年不等。骨软骨瘤的附属骨化中心与正常骨骺融合后,未观察到进一步增大。3例患者切除了增大的内侧股骨髁,2例通过骨切除,膝关节内留下非软骨表面。该手术似乎没有不良后果;19年后随访的1例患者无不适主诉,X线显示膝关节几乎正常。