Epps C H, Schneider P L
Division of Orthopaedic Surgery, Howard University Hospital, Washington D.C. 20060.
J Bone Joint Surg Am. 1989 Feb;71(2):273-7.
We used contemporary methods, including early surgical intervention (usually amputation) and prosthetic rehabilitation, to treat tibial or fibular hemimelia in thirty-three patients (forty-four limbs); twenty-four patients (twenty-nine limbs) had adequate follow-up, and their cases are reported here. After an average length of follow-up of sixteen years, all except two of the patients had an excellent or a good result. No patient had migration of the heel pad or a slough or infection of the skin, and only one patient needed a second operation. The Brown procedure was done on three limbs (two patients), but it always had to be supplemented by a corrective operation. We concluded that early surgical treatment and prosthetic rehabilitation yield an excellent result, not only for the short term but also for the long term.
我们采用了当代方法，包括早期手术干预（通常为截肢）和假肢康复，来治疗33例患者（44条肢体）的胫腓骨半侧肢体发育不全；24例患者（29条肢体）获得了充分随访，其病例在此报告。经过平均16年的随访，除两名患者外，所有患者均获得了优良结果。没有患者出现足跟垫移位、皮肤溃疡或感染，只有一名患者需要二次手术。对三条肢体（两名患者）实施了布朗手术，但该手术总是需要辅以矫正手术。我们得出结论，早期手术治疗和假肢康复不仅在短期内，而且在长期内都能产生优异的效果。
