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骨骺阻滞术:一项新技术的两年临床结果

Epiphysiodesis: two-year clinical results using a new technique.

作者信息

Ogilvie J W, King K

机构信息

University of Minnesota, Department of Orthopaedic Surgery, Minneapolis 55455.

出版信息

J Pediatr Orthop. 1990 Nov-Dec;10(6):809-11.

PMID:2250072
Abstract

A new technique for epiphysiodesis was used to treat seven children with lower limb length discrepancies. A low-speed, high-torque drill was used to ablate the epiphyseal plate through a 1-cm incision under image intensification control. Roentgenographically, the physes appeared to be fused as early as 1 month postoperatively. Clinically, growth was arrested at the time of the operation because the discrepancy never became greater than it was at the time of surgery and improved in all cases at subsequent follow-up visits. No failures of fusion, post-operative infections, restricted joint motion, or angular deformities were encountered.

摘要

一种新的骨骺阻滞技术被用于治疗7名下肢长度不等的儿童。在影像增强控制下,通过一个1厘米的切口,使用低速、高扭矩钻头切除骨骺板。X线片显示,术后仅1个月骨骺似乎就融合了。临床上,手术时生长即被阻滞,因为下肢长度差异从未超过手术时的差异,且在随后的随访中所有病例均有改善。未出现融合失败、术后感染、关节活动受限或成角畸形。

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