带血管游离腓骨移植治疗先天性胫骨假关节
Vascularized free fibular graft in the treatment of congenital pseudarthrosis of tibia.
作者信息
Kokavec M, Kusin M, Palencar D
机构信息
Department of Pediatric Orthopedics, Faculty of Medicine, Comenius University, Pediatric University Hospital, Bratislava, Slovakia.
出版信息
Bratisl Lek Listy. 2009;110(3):170-3.
UNLABELLED
Aim of the study was to evaluate the results of the patients with "congenital pseudartrosis of tibia" treated by vascularized fibular graft transferred from the contralateral calf.
MATERIAL AND METHODS
The cohort consist of four patients (2 boys and 2 girls) aged 5.75 y (range 4-8 years) in the time of the transfer of vascularized fibular graft from the contralateral calf into the resected tibia suffered from pseudarthrosis Crawford type II, III and IV. Patients were operated on between 1999-2007.
RESULTS
A total graft union was achieved in three patients in one-year follow-up period. In one girl, treatment failed due to infection and was treated later with intramedullar Rush nail fixation and additional spongioplasty with an unsatisfactory result.
CONCLUSION
Authors believe that after an accurate preoperative planning in cooperation with the microsurgeon, the treatment of congenital pseudarthrosis of the tibia by vascullarized fibular graft should be considered as a very effective, accurate and relatively safe method (Tab. 2, Fig. 4, Ref. 7). Full Text (Free, PDF) www.bmj.sk.
未标注
本研究的目的是评估采用取自对侧小腿的带血管腓骨移植治疗“先天性胫骨假关节”患者的效果。
材料与方法
该队列包括4例患者（2名男孩和2名女孩），在将带血管腓骨从对侧小腿移植至切除的胫骨时年龄为5.75岁（范围4 - 8岁），患有克劳福德II型、III型和IV型假关节。患者于1999年至2007年接受手术。
结果
在一年的随访期内，3例患者实现了完全骨愈合。1名女孩因感染治疗失败，后来接受了髓内鲁什钉固定及额外的骨松质植入术，但效果不佳。
结论
作者认为，在与显微外科医生合作进行准确的术前规划后，采用带血管腓骨移植治疗先天性胫骨假关节应被视为一种非常有效、准确且相对安全的方法（表2，图4，参考文献7）。全文（免费，PDF）www.bmj.sk 。
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