Kennedy Jim, O'Toole Patrick, Baker Joseph F, Moore David
Our Lady's Children's Hospital Crumlin, Dublin, Ireland.
J Pediatr Orthop. 2017 Jul/Aug;37(5):e326-e328. doi: 10.1097/BPO.0000000000000981.
Tibial pseudoarthrosis is a source of considerable morbidity in children with neurofibromatosis. Preventing the progression of anterolateral bowing of the tibia (ALBT) to tibial pseudoarthrosis is difficult. The aim of this paper is to report the successful use of guided growth to prevent tibial pseudoarthrosis in a child with neurofibromatosis.
With local ethical approval, we reviewed the case notes and radiographs of a child with pronounced ALBT who was treated with guided growth to correct the deformity and prevent fracture.
At 4-year follow-up guided growth has successfully corrected the deformity and prevented tibial pseudoarthrosis.
This is the first report of the use of guided growth to prevent the progression of ALBT to pseudoarthrosis of the tibia in a child with neurofibromatosis.
Level IV.
胫骨假关节是神经纤维瘤病患儿相当大的发病原因。预防胫骨前外侧弓形弯曲（ALBT）发展为胫骨假关节很困难。本文旨在报告成功运用引导性生长技术预防一名神经纤维瘤病患儿发生胫骨假关节。
经当地伦理批准，我们查阅了一名患有明显ALBT的儿童的病历和X线片，该患儿接受了引导性生长治疗以矫正畸形并预防骨折。
在4年的随访中，引导性生长成功矫正了畸形并预防了胫骨假关节。
这是关于运用引导性生长技术预防神经纤维瘤病患儿的ALBT发展为胫骨假关节的首例报告。
四级。
