Cordonnier D, Barbier J, Desrousseaux J-F
Service d'Orthopédie, Hôpital Saint Philibert et Saint Antoine, Groupe Hospitalier de l'Institut Catholique de Lille, Lomme.
Rev Chir Orthop Reparatrice Appar Mot. 2004 Feb;90(1):83-7. doi: 10.1016/s0035-1040(04)70012-4.
We report the case of a 10-year-old child who presented a severely deformed upper limb due to post-traumatic partial proximal epiphysiodesis of the humerus. The goal of treatment was to correct the severe angular deformity, prevent recurrence, and lengthen the humerus 6 cm. We used the De Bastiani callotasis method with osteotomy of the humeral shaft and unilateral external fixation (Orthofix LRS). The bony deformations were corrected progressively. Angular correction induced a geometric lengthening sufficient to match the length of the healthy limb. Lengthening index was 22.7 days/cm. The functional and esthetic results were remarkable. Complementary epiphysiodesis of the proximal physis successfully prevented recurrent deformation.
我们报告了一例10岁儿童的病例，该患儿因创伤后肱骨近端部分骺板早闭而出现上肢严重畸形。治疗的目标是纠正严重的角状畸形，防止复发，并将肱骨延长6厘米。我们采用了德巴斯蒂亚尼骨痂延长法，行肱骨干截骨术并使用单侧外固定（奥托芬LRS）。骨畸形得到逐步矫正。角状矫正导致了足以与健侧肢体长度相匹配的几何延长。延长指数为22.7天/厘米。功能和美学效果显著。近端骨骺的补充性骺板早闭成功防止了复发畸形。
