Broughton N S, Dickens D R, Cole W G, Menelaus M B
Department of Orthopaedics, Royal Children's Hospital, Victoria, Australia.
J Bone Joint Surg Br. 1989 Jan;71(1):13-6. doi: 10.1302/0301-620X.71B1.2914983.
We reviewed 13 children with partial growth plate arrest who had been treated by epiphyseolysis. Eight were followed to skeletal maturity and five for at least four years. In three cases the affected limb was restored to normal and in five the operation was successful in improving angular deformity and leg length discrepancy such that further surgery was not necessary. In the five failures, angular deformity had progressed or limb length discrepancy had increased. There were no significant complications and the procedure did not prevent subsequent osteotomy or limb length equalisation. Epiphyseolysis was most effective for small bars and those affecting only the central area of the plate.
我们回顾了13例接受骨骺松解术治疗的部分生长板阻滞患儿。其中8例随访至骨骼成熟，5例至少随访4年。3例患侧肢体恢复正常，5例手术成功改善了角畸形和腿长差异，无需进一步手术。5例手术失败的患儿，角畸形进展或肢体长度差异增大。未出现明显并发症，该手术未妨碍后续截骨术或肢体长度均衡手术。骨骺松解术对小的骨桥以及仅累及生长板中央区域的骨桥最为有效。
