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膝关节生长停滞后的骨骺阻滞切除术。

Physeal bar resections after growth arrest about the knee.

作者信息

Kasser J R

机构信息

Department of Orthopedic Surgery, Children's Hospital, Boston, Massachusetts 02115.

出版信息

Clin Orthop Relat Res. 1990 Jun(255):68-74.

PMID:2347167
Abstract

Localized growth arrest about the knee can be treated with excision when less than 50% of the physis is involved and when at least 2.5 cm of growth remains. Simultaneous corrective osteotomy should be performed when the angular deformity exceeds 20 degrees. The superiority of the various interposition materials remains controversial, but the alternatives are fat, cartilage, elastomer, and methylmethacrylate.

摘要

当膝关节周围局部生长停滞累及的骺板小于50%且至少仍有2.5厘米的生长量时,可通过切除进行治疗。当角畸形超过20度时,应同时进行矫正截骨术。各种植入材料的优越性仍存在争议,但可选择的材料有脂肪、软骨、弹性体和甲基丙烯酸甲酯。

相似文献

1
Physeal bar resections after growth arrest about the knee.膝关节生长停滞后的骨骺阻滞切除术。
Clin Orthop Relat Res. 1990 Jun(255):68-74.
2
Deformity correction during growth after partial physeal arrest.部分骨骺阻滞术后生长过程中的畸形矫正。
Acta Orthop Belg. 2009 Apr;75(2):219-24.
3
Physeal arrest about the knee associated with non-physeal fractures in the lower extremity.与下肢非骨骺骨折相关的膝关节周围骨骺阻滞
J Bone Joint Surg Am. 1989 Jun;71(5):698-703.
4
Salter-Harris Type-IV injuries of the distal tibial epiphyseal growth plate, with emphasis on those involving the medial malleolus.胫骨远端骨骺生长板的Salter-Harris Ⅳ型损伤,重点关注累及内踝的损伤。
J Bone Joint Surg Am. 1983 Oct;65(8):1059-70.
5
[Epiphyseal separations of the knee].[膝关节骨骺分离]
Ann Chir. 1994;48(1):46-54.
6
Significance of corrective growth of opposite physes in the surgical correction of deformity following epiphyseal injury around the knee joint.膝关节周围骨骺损伤后畸形手术矫正中对侧骨骺矫正生长的意义。
Knee Surg Sports Traumatol Arthrosc. 1997;5(1):38-41. doi: 10.1007/s001670050022.
7
Three-dimensional MR imaging in the assessment of physeal growth arrest.三维磁共振成像在评估骨骺生长停滞中的应用
Eur Radiol. 2004 Sep;14(9):1600-8. doi: 10.1007/s00330-004-2319-z. Epub 2004 Apr 3.
8
[Periarticular fractures of the knee in child and adolescent athletes].[儿童和青少年运动员膝关节周围骨折]
Acta Orthop Traumatol Turc. 2004;38 Suppl 1:93-100.
9
The use of helical computed tomographic scan to assess bony physeal bridges.使用螺旋计算机断层扫描评估骨生长板桥。
J Pediatr Orthop. 1997 May-Jun;17(3):356-9.
10
Traumatic growth arrest of the distal tibia: a clinical and radiographic review.胫骨远端创伤性生长停滞:临床与影像学综述
Can J Surg. 2005 Apr;48(2):143-7.

引用本文的文献

1
The efficacy of physeal bar resection with guided growth in the treatment of physeal arrest with angular limb deformity.骺板切除结合引导生长技术治疗骺板阻滞伴肢体成角畸形
Sci Rep. 2024 Jun 18;14(1):14052. doi: 10.1038/s41598-024-64875-y.
2
Treatment of ankle varus deformity due to physeal bar formation: A case report.治疗骨骺板形成所致踝内翻畸形:病例报告。
Ulus Travma Acil Cerrahi Derg. 2022 Sep;28(9):1359-1362. doi: 10.14744/tjtes.2020.67179.
3
Arthroscopically assisted surgical fixation of a juvenile Tillaux fracture and implant removal: A case report.
关节镜辅助下青少年Tillaux骨折的手术固定及植入物取出:一例报告
J Clin Orthop Trauma. 2017 Aug;8(Suppl 1):S32-S37. doi: 10.1016/j.jcot.2017.04.002. Epub 2017 Apr 22.
4
Growth arrest and leg-length discrepancy.生长停滞和肢体长度差异。
Pediatr Radiol. 2013 Mar;43 Suppl 1:S155-65. doi: 10.1007/s00247-012-2598-5. Epub 2013 Mar 12.