From the Hospital for Special Surgery, New York, NY (Dr. Reif, Dr. Fragomen, and Dr. Rozbruch), and the Charité-Universitätsmedizin Berlin, Berlin, Germany (Ms. Matthias).
J Am Acad Orthop Surg Glob Res Rev. 2021 Mar 10;5(3):e00214. doi: 10.5435/JAAOSGlobal-D-20-00214.
Benign bone tumors and tumor-like lesions are frequently diagnosed in children and adolescents. The immature skeleton is at risk for growth disturbances and deformity because of the effects of the lesions on normal bone architecture and the physis. The development, manifestation, and severity of the limb length inequality and deformity differs between the various bone pathologies. Distraction osteogenesis, osteotomy, and guided growth are key tools in the treatment of limb inequality and deformity using a combination of external and internal fixation devices.
良性骨肿瘤和肿瘤样病变在儿童和青少年中经常被诊断出来。由于病变对正常骨结构和骺板的影响,未成熟骨骼存在生长障碍和畸形的风险。不同的骨病理学中,肢体长度不等和畸形的发展、表现和严重程度不同。在使用外部和内部固定装置的组合治疗肢体不等和畸形时,牵拉成骨术、截骨术和引导生长是关键工具。