Inoue Toshio, Naito Masatoshi, Fujii Toshio, Akiyoshi Yuichiro, Yoshimura Ichiro, Takamura Kazuyuki
Department of Orthopaedic Surgery, Fukuoka University School of Medicine, Fukuoka Children's Hospital, Fukuoka, Japan.
J Pediatr Orthop B. 2006 Jan;15(1):65-9. doi: 10.1097/01202412-200601000-00014.
We treated four cases of partial physeal growth arrest by resecting the bone bridge and interposing an expanded polytetrafluoroethylene membrane, which has minimal tissue response. We evaluated three cases with sufficiently long follow-up. No apparent recurrence of the bone bridge and no limb length discrepancy occurred in any of the cases. No remodeling after the operation occurred. In one case, which underwent this operation and corrective osteotomy of the proximal tibia, slight recurrence of the varus deformity occurred which was detected only by radiographs, and did not compromise the alignment of the leg. There were no complications.
我们通过切除骨桥并置入组织反应极小的膨体聚四氟乙烯膜来治疗4例部分骨骺生长停滞的病例。我们对3例随访时间足够长的病例进行了评估。所有病例均未出现骨桥明显复发及肢体长度差异。术后未发生重塑。1例接受了该手术及胫骨近端截骨矫正术,仅通过X线片检测到内翻畸形有轻微复发,但未影响腿部对线。无并发症发生。