Aston J W, Henley M B
University of Texas Southwestern Medical Center, Dallas.
Orthop Rev. 1989 Jul;18(7):813-6.
Growth arrest of the distal radius may follow a severe injury to the growth plate. When the growth of the distal radius ceases in the child, continuing ulnar growth results in radial deviation of the hand and dislocation of the distal radioulnar joint. Treatment options in such a limb-length discrepancy are resection of the physeal bony bridge, lengthening of the shaft of the radius with bone graft using the principle of the Wagner technique, resection or epiphysiodesis of the distal ulna, and lengthening through a metaphyseal corticotomy without the use of bone graft. We report a case of metaphyseal lengthening of the radius employing the Ilizarov external fixator for controlled distraction osteogenesis.
桡骨远端生长停滞可能继发于生长板的严重损伤。当儿童桡骨远端生长停止时，尺骨持续生长会导致手部桡偏和桡尺远侧关节脱位。对于这种肢体长度差异的治疗选择包括切除骨桥、采用瓦格纳技术原理进行带骨移植的桡骨干延长、尺骨远端切除或骨骺阻滞，以及不使用骨移植的经干骺端截骨延长。我们报告一例采用伊里扎罗夫外固定架进行可控性牵张成骨的桡骨干骺端延长病例。
