儿童下肢矫正截骨术采用临时外固定和经皮锁定钢板。
Corrective lower limb osteotomies in children using temporary external fixation and percutaneous locking plates.
作者信息
Bar-On Elhanan, Becker Tali, Katz Kalman, Velkes Steven, Salai Moshe, Weigl Daniel M
机构信息
Pediatric Orthopedic Unit, Schneider Children's Medical Center, 14 Kaplan St., 49202, Petah Tikva, Israel,
出版信息
J Child Orthop. 2009 Apr;3(2):137-43. doi: 10.1007/s11832-009-0165-x. Epub 2009 Mar 12.
BACKGROUND
We describe a new method for corrective osteotomy and the fixation of lower limb deformities in children.
METHODS
Following osteotomy, the desired position is obtained and temporarily stabilized using an external fixator. Definitive fixation is performed with a plate and locking screws inserted percutaneously under fluoroscopic guidance. The procedure was performed in 18 segments in 11 patients. Corrections were performed in all planes.
RESULTS
The mean follow up was 18 months (range 6-36 months). All patients were corrected to within 2 degrees of that which was planned. Union was obtained in 16 segments in ten patients within 6-16 weeks.
CONCLUSIONS
The method was found to be effective for the correction of deformity in the pediatric population. Advantages compared to conventional methods include minimal soft tissue dissection and the ability to adjust the position before definitive fixation.
背景
我们描述了一种用于儿童下肢畸形矫正截骨术及固定的新方法。
方法
截骨术后，使用外固定器获得所需位置并临时固定。在透视引导下经皮插入钢板和锁定螺钉进行最终固定。该手术在11例患者的18个节段中进行。在所有平面上进行矫正。
结果
平均随访18个月（范围6 - 36个月）。所有患者均矫正至计划角度的2度以内。10例患者的16个节段在6 - 16周内实现骨愈合。
结论
该方法被发现对矫正儿童畸形有效。与传统方法相比，优点包括软组织剥离最少以及在最终固定前能够调整位置。
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