Ohnishi Isao, Sato Wakyo, Matsuyama Juntarou, Yajima Hiroshi, Haga Nobuhiko, Kamegaya Makoto, Minami Akio, Sato Masato, Yoshino Shinji, Oki Takashi, Nakamura Kozo
Department of Pediatric Orthopaedics, Shizuoka Children's Hospital, Shizuoka, Japan.
J Pediatr Orthop. 2005 Mar-Apr;25(2):219-24. doi: 10.1097/01.bpo.0000151054.54732.0b.
Treatment of congenital pseudarthrosis of the tibia (CPT) remains a challenge. To clarify the current situation in treatment, a multicenter study was carried out to obtain information on the results of CPT treatment. The objective of this study was to propose appropriate treatment guidelines for CPT. Records of 73 patients with CPT who underwent surgical treatment were collected from 32 hospitals. The modality of the treatment was 26 with Ilizarov technique, 25 with free vascularized fibular graft, 7 with a combination of the two techniques, 6 with intramedullary nailing with free bone grafting, 5 plating with free bone grafting, and 4 with other treatments. Fifty-four procedures resulted in union, 7 resulted in delayed union, 7 were left un-united, 1 underwent amputation, and the results were unknown in 4. According to the results of this study, the most acceptable methods of treatment of CPT are the Ilizarov method and the vascularized fibular graft.
胫骨先天性假关节（CPT）的治疗仍然是一项挑战。为了阐明当前的治疗现状，开展了一项多中心研究以获取CPT治疗结果的相关信息。本研究的目的是提出CPT的适当治疗指南。从32家医院收集了73例接受手术治疗的CPT患者的记录。治疗方式为：26例采用Ilizarov技术，25例采用游离带血管腓骨移植，7例采用两种技术联合，6例采用髓内钉固定联合游离骨移植，5例采用钢板固定联合游离骨移植，4例采用其他治疗方法。54例手术获得骨愈合，7例延迟愈合，7例未愈合，1例行截肢术，4例结果未知。根据本研究结果，CPT最可接受的治疗方法是Ilizarov方法和带血管腓骨移植。
