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通过永久性半骨骺阻滞术矫正非布朗特氏膝角畸形。

Correction of non-Blount's angular knee deformity by permanent hemiepiphyseodesis.

作者信息

Ferrick Michael R, Birch John G, Albright Maurice

机构信息

Texas Scottish Rite Hospital, Dallas, Texas, USA.

出版信息

J Pediatr Orthop. 2004 Jul-Aug;24(4):397-402. doi: 10.1097/00004694-200407000-00010.

Abstract

This retrospective study evaluated the results of permanent hemiepiphyseodesis for the correction of non-Blount's coronal plane angular knee deformity. The medical records and radiographs of 75 patients with 125 angular knee deformities were analyzed for overall rate of success and factors predicting successful correction of deformity. There were 38 patients with idiopathic genu valgum and 37 with various other skeletal disorders. Sixty-nine out of 75 patients had reached skeletal maturity at latest follow-up. One hundred six knees out of 125 were successfully treated by the procedure. Of the 19 remaining knees, 15 were operated on too close to skeletal maturity to expect correction and 4 were technically unsuccessful in achieving closure of the targeted physis. There were no complications other than overcorrection, which occurred in 15 knees (11 patients). This study indicates that permanent hemiepiphyseodesis is a very useful procedure if performed in a timely and technically successful manner.

摘要

这项回顾性研究评估了永久性半骨骺阻滞术矫正非Blount型膝关节冠状面角状畸形的效果。分析了75例患者125处膝关节角状畸形的病历和X线片,以评估总体成功率及预测畸形矫正成功的因素。其中38例为特发性膝外翻患者,37例患有其他各种骨骼疾病。75例患者中,69例在末次随访时已达到骨骼成熟。125处膝关节中,106处通过该手术成功治疗。其余19处膝关节中,15处手术时距骨骼成熟太近,无法期望获得矫正,4处因技术原因未能成功闭合目标骨骺。除了15处膝关节(11例患者)出现过度矫正外,未发生其他并发症。本研究表明,如果手术时机合适且技术成功,永久性半骨骺阻滞术是一种非常有用的手术方法。

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