Oberc Artur, Sułko Jerzy
Department of Pediatric Orthopaedics and Traumatology, University Children's Hospital, Kraków, Poland.
J Pediatr Orthop B. 2013 Sep;22(5):450-6. doi: 10.1097/BPB.0b013e32836330dd.
The objective of this study is to present treatment of fibular hemimelia along with the complications, results, and an algorithm for treatment indications on the basis of authors' experience. A group of 31 patients was studied. In patients fulfilling the criteria for amputation, Syme's amputation should be performed. Elongation should be performed in case of type IA or IB fibular hemimelia, with a functional foot with more than three rays, leg shortening less than 5 cm at birth, and less than 10 cm at 9 years of life. The combination of epiphysiodesis with elongation produces the best outcome and is best accepted by the patients.
本研究的目的是根据作者的经验,介绍腓骨半肢畸形的治疗方法以及并发症、治疗结果和治疗指征算法。对31例患者进行了研究。对于符合截肢标准的患者,应行Syme截肢术。对于IA型或IB型腓骨半肢畸形,若足部功能良好且有超过三条射线,出生时下肢短缩小于5 cm,9岁时小于10 cm,则应进行延长术。骨骺阻滞术与延长术相结合可产生最佳效果,且最易为患者所接受。