Spiegel D A, Loder R T, Crandall R C
Shriners Hospitals for Children/Twin Cities, 2025 East River Parkway, Minneapolis, MN 55414, USA.
Int Orthop. 2003;27(6):338-42. doi: 10.1007/s00264-003-0490-5. Epub 2003 Jul 16.
We performed a clinical and radiographic review of 15 patients (19 limbs) with longitudinal deficiency of the tibia treated between 1981 and 2001. Ten limbs with Kalamchi type I deficiencies were managed by through-knee amputation. Five type II deficiencies were treated by foot ablation and tibiofibular synostosis, either at the same time or staged, but prosthetic problems may arise from varus alignment and prominence of the proximal fibula. Patients with type III deficiencies (four cases) were treated by foot ablation. Prosthetic problems relating to proximal or distal tibiofibular instability may necessitate additional surgical intervention.
我们对1981年至2001年间接受治疗的15例（19条肢体）胫骨纵向缺损患者进行了临床和影像学回顾。10条患有卡拉姆奇I型缺损的肢体接受了经膝截肢术。5例II型缺损患者接受了足部切除术和胫腓骨融合术，可同时进行或分阶段进行，但内翻畸形和近端腓骨突出可能会引发假体问题。III型缺损患者（4例）接受了足部切除术。与胫腓骨近端或远端不稳定相关的假体问题可能需要额外的手术干预。
