保留骨骺的双筒带血管游离腓骨移植治疗先天性桡骨远端假关节：1例报告
Congenital Pseudoarthrosis of the Distal Radius Treated With Physeal-Sparing Double-Barrel Vascularized Free Fibula Transfer: A Case Report.
作者信息
Ding David Y, LaMartina Joey, Tai Chau, Pandya Nirav K
机构信息
1 The Permanente Medical Group, San Francisco, CA, USA.
2 University of California, San Francisco, USA.
出版信息
Hand (N Y). 2017 Sep;12(5):NP140-NP144. doi: 10.1177/1558944717702472. Epub 2017 Apr 12.
BACKGROUND
Neurofibromatosis type 1 is a hereditary disease that can lead to pseudoarthrosis of various long bones. Rarely, pseudoarthrosis affects the forearm, and to the best of our knowledge, this is the first reported case of pseudarthrosis of the distal radius treated by this unique method.
METHODS
We present a case of a 7-year-old male who underwent multiple operations to treat pseudoarthrosis of the distal radius.
RESULTS
After failed conservative and operative fixation augmented with autologous iliac crest bone grafting, the patient underwent a successful double-barrel vascularized free fibula graft while preserving the physis of the distal radius.
CONCLUSION
Double-barrel vascularized free fibula bone graft can be successfully used as the definitive treatment in refractory cases of distal forearm pseudarthrosis and we believe that our technique can be applied to all cases of pseudarthrosis in other patients with a similar presentation and lesion location.
背景
1型神经纤维瘤病是一种遗传性疾病，可导致各种长骨的假关节形成。假关节很少累及前臂，据我们所知，这是首例采用这种独特方法治疗的桡骨远端假关节病例。
方法
我们报告一例7岁男性患者，该患者因桡骨远端假关节接受了多次手术治疗。
结果
在保守治疗及自体髂骨植骨增强的手术固定失败后，该患者成功接受了双筒带血管游离腓骨移植，同时保留了桡骨远端的骨骺。
结论
双筒带血管游离腓骨移植可成功用于治疗难治性前臂远端假关节，我们认为我们的技术可应用于其他具有类似表现和病变部位的假关节患者的所有病例。
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