Fan Bensen, Zhao Caixia, Sabharwal Sanjeev
Department of Orthopedics, Rutgers New Jersey Medical School, Newark, New Jersey.
Department of Orthopedics, University of California San Francisco, Benioff Children's Hospital of Oakland, Oakland, California, USA.
J Pediatr Orthop B. 2020 Jan;29(1):65-72. doi: 10.1097/BPB.0000000000000603.
There is limited information regarding the use of temporary hemiepiphysiodesis for Blount disease. We performed a systematic review of patients treated for Blount disease using either extraperiosteal staples or plates to identify characteristics affecting clinical outcome, including the need for unplanned procedures. A total of 53 patients (63 bone segments) underwent temporary hemiepiphysiodesis at a mean age of 8.8 years (1.8-14.7 years). Overall, 32/63 (51%) segments achieved neutral mechanical axis and 31/63 (49%) underwent unplanned subsequent procedures, with or without a subsequent osteotomy. On the basis of the available heterogeneous data, neither age at index surgery nor the type of implant correlated with the need for unplanned additional surgeries.
关于使用临时半骨骺阻滞术治疗布朗特病的信息有限。我们对使用骨膜外钉或钢板治疗布朗特病的患者进行了系统评价，以确定影响临床结果的特征，包括计划外手术的必要性。共有53例患者（63个骨段）接受了临时半骨骺阻滞术，平均年龄为8.8岁（1.8 - 14.7岁）。总体而言，63个骨段中有32个（51%）实现了中立机械轴，31个（49%）接受了计划外的后续手术，无论是否进行了后续截骨术。基于现有的异质性数据，初次手术时的年龄和植入物类型均与计划外额外手术的必要性无关。
