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一名骨骼未成熟患者在进行前交叉韧带重建术后出现双侧肢体过度生长。

Symmetric limb overgrowth following anterior cruciate ligament reconstruction in a skeletally immature patient.

作者信息

Zimmerman Lance J, Jauregui Julio J, Riis Jacob F, Tuten Hans Robert

机构信息

aTuckahoe Orthopaedic Associates Ltd, Richmond, Virginia bRubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, Maryland, USA.

出版信息

J Pediatr Orthop B. 2015 Nov;24(6):530-4. doi: 10.1097/BPB.0000000000000183.

Abstract

This report describes a case of symmetric femoral and tibial overgrowth of 2.8 cm in a 13-year-old patient after undergoing reconstruction surgery for his torn right anterior cruciate ligament. A literature review of previous cases is also provided. Following a pediatric anterior cruciate ligament tear, delaying surgery until the patient approaches skeletal maturity may avoid long-term growth disturbances, however, delaying this procedure may increase the probability of further joint damage. This growth disturbance was managed with a percutaneous epiphysiodesis that corrected the limb length deformity.

摘要

本报告描述了一名13岁患者在接受右前交叉韧带撕裂重建手术后出现双侧股骨和胫骨对称过度生长2.8厘米的病例。同时还提供了对以往病例的文献综述。小儿前交叉韧带撕裂后,将手术推迟到患者接近骨骼成熟时进行,可能会避免长期生长障碍,然而,推迟这一手术可能会增加进一步关节损伤的可能性。这种生长障碍通过经皮骨骺阻滞术进行处理,纠正了肢体长度畸形。

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