Bassey L O
Department of Surgery, College of Medical Sciences, University of Calabar, Nigeria.
J Trauma. 1990 Jan;30(1):102-7. doi: 10.1097/00005373-199001000-00017.
Three cases of valgus deformity following proximal metaphyseal fractures of the tibia in childhood are reported. All the cases seen required corrective osteotomies for management. In one case, a 4-year-old girl, recurrence was noted to have occurred despite the corrective osteotomy. Subsequent revision and suturing of the pes anserinus tendon plate was considered to be pertinent in the eventual correction and prevention of recurrence obtained. Although conservative management technics and the possibility of spontaneous correction are also considered in the management of the ailment, the role of the pes anserinus tendon plate is highlighted in terms of loss of its tethering effect and medial overgrowth due to hemichondrodiastasis. Primary repair by removal of the infolding of the periosteum into the fracture space and resuturing of same is the proposed method of management.
报告了3例儿童胫骨近端干骺端骨折后出现外翻畸形的病例。所有这些病例都需要进行截骨矫正术来治疗。其中1例为4岁女孩，尽管进行了截骨矫正术，但仍出现了复发。随后认为对鹅足肌腱板进行翻修和缝合对于最终的矫正和预防复发是有必要的。尽管在该疾病的治疗中也考虑了保守治疗技术和自发矫正的可能性，但由于半软骨扩张导致鹅足肌腱板的牵拉作用丧失和内侧过度生长，其作用得到了强调。建议的治疗方法是通过去除陷入骨折间隙的骨膜并重新缝合进行一期修复。
