泰勒空间框架在青少年Blount病中的应用：腓骨截骨术是否必要？
The use of the Taylor spatial frame in adolescent Blount's disease: is fibular osteotomy necessary?
作者信息
Eidelman Mark, Bialik Viktor, Katzman Alexander
机构信息
Pediatric Orthopedics Unit, Rambam Health Care Campus, and Faculty of Medicine, Technion-Israel Institute of Technology, P.O. Box 9602, 31096, Haifa, Israel,
出版信息
J Child Orthop. 2008 Jun;2(3):199-204. doi: 10.1007/s11832-008-0099-8. Epub 2008 Apr 2.
BACKGROUND
The standard treatment of adolescent Blount disease includes proximal tibial osteotomy and osteotomy of the fibula. Some believe that the fibula should also be fixed to prevent migration and subluxation. The purpose of the current study was to examine the results of treatment of patients with adolescent tibia vara treated by tibial osteotomy and Taylor spatial frame (TSF) without fibular osteotomy.
METHODS
Correction of deformities was performed on eight patients (ten tibias) with adolescent Blount disease using TSF. The fibula was not osteotomized in any patient and was not fixed in the last five patients.
RESULTS
All patients had precise anatomical correction of deformities and no problems related to the fibula occurred during or after correction.
CONCLUSION
Based on our experience we believe that placement of the origin at the level of the proximal tibial fibular joint in conjunction with external fixation eliminates the need for fibular osteotomy and the potential morbidity of this procedure in patients with mild to moderate tibia vara.
背景
青少年Blount病的标准治疗包括胫骨近端截骨术和腓骨截骨术。一些人认为，腓骨也应固定以防止移位和半脱位。本研究的目的是检查采用胫骨截骨术和泰勒空间框架（TSF）治疗青少年胫骨内翻患者且不进行腓骨截骨术的治疗结果。
方法
对8例（10条胫骨）青少年Blount病患者使用TSF进行畸形矫正。所有患者均未进行腓骨截骨术，且最后5例患者未对腓骨进行固定。
结果
所有患者的畸形均得到精确的解剖学矫正，矫正期间及矫正后均未出现与腓骨相关的问题。
结论
根据我们的经验，我们认为将TSF的起始点置于胫骨近端腓骨关节水平并结合外固定，可避免对轻度至中度胫骨内翻患者进行腓骨截骨术及其潜在的并发症。
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