Porat S, Peyser A, Robin G C
Hadassah University Hospital, Jerusalem, Israel.
J Pediatr Orthop. 1991 Jul-Aug;11(4):442-8. doi: 10.1097/01241398-199107000-00004.
Equalization of lower limb length was achieved by epiphysiodesis in 20 children. During the period under review the Phemister procedure was replaced by percutaneous epiphysiodesis, and orthoroentgenogram was superseded by computed tomography (CT) scanning. In five children with anisomelia, whose expected discrepancy was 4.5 cm, the results at maturity showed an average discrepancy of 0.7 cm. In 10 girls with limb-length discrepancy (LLD) caused by ischemic necrosis with congenital dislocation of the hip, the average LLD at maturity was 0.6, whereas the expected LLD was 4 cm. In five children with LLD caused by infection, the average discrepancy was 3.8 cm at the time of epiphysiodesis, whereas at maturity it was 0.5 cm. A good result was achieved in 90% of the patients. We recommend the Moseley straight-line graph, CT scanography, and percutaneous epiphysiodesis.
20名儿童通过骨骺阻滞术实现了下肢长度均衡。在本研究期间，菲米斯特手术被经皮骨骺阻滞术所取代，正位X线片被计算机断层扫描（CT）所取代。在5名预期下肢长度差异为4.5厘米的肢体不等长儿童中，成熟时的平均差异为0.7厘米。在10名因先天性髋关节脱位缺血性坏死导致肢体长度差异（LLD）的女孩中，成熟时的平均LLD为0.6厘米，而预期的LLD为4厘米。在5名因感染导致LLD的儿童中，骨骺阻滞术时的平均差异为3.8厘米，而成熟时为0.5厘米。90%的患者取得了良好效果。我们推荐莫斯利直线图、CT扫描和经皮骨骺阻滞术。
