Landreau-Jolivet I, Pilliard D, Taussig G
Service de Chirurgie Orthopédique et Rééducation Pédiatrique, Institut National de Réadaptation, Saint-Maurice.
Rev Chir Orthop Reparatrice Appar Mot. 1992;78(6):411-4.
The authors report 4 cases of tibia vara associated with focal fibrocartilaginous dysplasia observed in 3 boys and 1 girl between the ages of 11 and 17 months. Deformation was usually discovered when the child began to walk. It can worsen during the first years of life, thus explaining that two subjects were operated at 3 years and at 4 years and 8 months, with osteotomy for valgus rotation. The outcome was good. The other 2 recovered spontaneously. The authors discuss the diagnostic and pathophysiological problems in the light of the data in the literature and confirm that correction is usually spontaneous, which justifies refraining from treatment.
作者报告了4例与局灶性纤维软骨发育异常相关的胫骨内翻病例，这些病例见于3名男孩和1名女孩，年龄在11至17个月之间。畸形通常在患儿开始行走时被发现。在生命的最初几年中畸形可能会加重，这解释了有两名患儿分别在3岁、4岁8个月时接受了手术，进行了外翻旋转截骨术。结果良好。另外2例自行恢复。作者根据文献数据讨论了诊断和病理生理问题，并证实通常畸形会自发矫正，这证明无需进行治疗。
