Pediatric surgery and orthopaedics department, Mediterranean university, Marseille Timone Children Hospital, 264, rue Saint-Pierre, 13385 Marseille cedex 5, France.
Orthop Traumatol Surg Res. 2011 Jun;97(4):438-42. doi: 10.1016/j.otsr.2010.12.006. Epub 2011 May 4.
Tibial aplasias are difficult entities to manage and sometimes require significant limb lengthening. Preserving the joint is the preferred option in these cases. However, when function is not ensured, lengthening beginning in the joint can be attempted followed by arthrodesis. This report presents the clinical and radiological results of a patient treated with intra-articular lengthening (or arthrodiastasis) associated with talocrural arthrodesis. Although this original technique provided satisfactory results, this surgical program remains complicated.
胫骨发育不良是难以处理的疾病实体，有时需要进行显著的肢体延长。在这种情况下，保留关节是首选。然而，当关节功能无法保证时，可以尝试在关节内开始延长，然后进行关节融合。本报告介绍了一名患者接受关节内延长（或关节分离）联合跟距关节融合治疗的临床和影像学结果。尽管这种原始技术提供了满意的结果，但该手术方案仍然复杂。
