Zwierzchowski H, Garncarek P, Judycki A
Katedry i Kliniki Ortopedii AM w Lodzi.
Chir Narzadow Ruchu Ortop Pol. 1990;55(4-6):469-76.
On the basis of digital subtractive angiography (DSA) arterial vascularization of lower extremities of six children with congenital hypoplasia of the leg has been studied. Four of our patients had fibular aplasia and anterior bowing of the tibia. One child had congenital bowing of the leg, and one had congenital pseudoarthrosis. An obstacle for contrast agent passage was found in every case at different levels of both anterior and posterior tibial arteries, in one case additionally segmental occlusion of popliteal artery was observed. These vascular anomalies combined with musculoskeletal hypoplasias are suggestive of developmental disturbances from intrauterine life. According to the authors they are responsible for frequent failures in surgical treatment of fibular aplasia with anterior bowing of the tibia and of congenital pseudoarthrosis of the leg.
基于数字减影血管造影（DSA），对6例先天性小腿发育不全患儿的下肢动脉血管形成情况进行了研究。我们的4例患者存在腓骨发育不全和胫骨前弓。1例患儿有先天性弓形腿，1例有先天性假关节。在每例患者的胫前动脉和胫后动脉不同水平均发现造影剂通过障碍，1例还观察到腘动脉节段性闭塞。这些血管异常与肌肉骨骼发育不全相结合提示子宫内生活期的发育障碍。据作者称，它们是导致伴有胫骨前弓的腓骨发育不全和小腿先天性假关节手术治疗频繁失败的原因。
