Tompkins Marc, Eberson Craig, Ehrlich Michael
Alpert Brown Medical School, Providence, Rhode Island, USA.
Am J Orthop (Belle Mead NJ). 2012 Feb;41(2):E23-6.
If left uncorrected, valgus ankle deformity in multiple hereditary exostoses can cause significant disability in skeletally immature children and in adults. Various management methods have been described, including hemiepiphyseal stapling, transphyseal screw placement, fibular-Achilles tenodesis, distal tibial osteotomy, and ablative epiphyseodesis. In this article, we report the cases of 3 skeletally immature children who had undergone hemiepiphyseal stapling of the medial distal tibial epiphysis for correction of valgus ankle deformity in multiple hereditary exostoses. Correction of the tibiotalar axis, in relation to chronological and bone age, was evaluated. Hemiepiphyseal stapling of the medial distal tibial epiphysis provides ipsilateral corrective potential while allowing staple removal for reversal of growth retardation. This procedure is useful in the management of ankle valgus in multiple hereditary exostoses.
如果不加以纠正，多发性遗传性骨软骨瘤中的外翻踝关节畸形会导致骨骼未成熟儿童和成人大幅残疾。已描述了各种治疗方法，包括半骨骺钉合、经骨骺螺钉置入、腓骨-跟腱腱固定术、胫骨远端截骨术和切除性骨骺阻滞术。在本文中，我们报告了3例骨骼未成熟儿童的病例，他们接受了胫骨远端内侧骨骺半骨骺钉合术，以纠正多发性遗传性骨软骨瘤中的外翻踝关节畸形。评估了胫距轴相对于实际年龄和骨龄的矫正情况。胫骨远端内侧骨骺半骨骺钉合术提供了同侧矫正潜力，同时允许取出螺钉以逆转生长迟缓。该手术在多发性遗传性骨软骨瘤的踝关节外翻治疗中很有用。
