Dilawaiz Nadeem R, Quick Thomas J, Eastwood Deborah M
The Royal National Orthopaedic Hospital, London UK.
J Pediatr Orthop B. 2005 Sep;14(5):340-6. doi: 10.1097/01202412-200509000-00006.
Tibial deformity in childhood often combines torsional and angular malalignment. A focal dome osteotomy was performed, proximally or distally, in 39 tibiae in 31 patients. In 33 limbs, the primary deformity was varus (with internal torsion). The osteotomy was held with K-wires and a plaster cast. The mean age at surgery was 10.25 years and the minimum follow-up 24 months. All osteotomies united and no compartment syndrome occurred. Postoperatively, two patients (5%) had temporary neurological deficits. Thirty of 31 patients had good clinical and radiological correction of alignment. Recurrent deformity was seen in one patient with hypophosphataemic rickets.
儿童胫骨畸形常合并扭转和角向排列不齐。对31例患者的39根胫骨进行了近端或远端的局限性穹窿截骨术。在33条肢体中，主要畸形为内翻（伴内扭转）。截骨术用克氏针和石膏固定。手术时的平均年龄为10.25岁，最短随访时间为24个月。所有截骨均愈合，未发生骨筋膜室综合征。术后，2例患者（5%）出现暂时性神经功能缺损。31例患者中有30例在临床和影像学上获得了良好的对线矫正。1例低磷性佝偻病患者出现了畸形复发。
