Vogt B, Frommer A, Gosheger G, Toporowski G, Tretow H, Rödl R, Laufer A
Kinderorthopädie, Deformitätenrekonstruktion und Fußchirurgie, Universitätsklinikum Münster, Münster, Deutschland.
Allgemeine Orthopädie und Tumororthopädie, Universitätsklinikum Münster, Münster, Deutschland.
Orthopade. 2021 Jul;50(7):538-547. doi: 10.1007/s00132-021-04122-8. Epub 2021 Jun 25.
The correction of angular deformities of the lower limb is a key task in paediatric orthopaedic surgery. The growth potential of the physis can be employed for the correction of these malalignments in childhood and adolescence. Hemiepiphysiodesis (HED) is a surgical technique used for growth modulation by permanent or temporary asymmetrical arrest of the growth plate. In permanent HED, exact timing of the procedure is mandatory to achieve optimal correction. Temporary HED through tension band devices such as two-hole-plates or flexible staples has been established as the treatment of choice for growth guidance with excellent results. Implant-associated complications have been significantly reduced through implant modifications. Several experimental procedures have the potential to achieve growth modulation even without the requirement of surgical intervention.
下肢角畸形的矫正乃是小儿骨科手术中的一项关键任务。在儿童期和青少年期，可利用骨骺的生长潜能来矫正这些排列不齐。半骨骺阻滞术（HED）是一种通过永久性或临时性不对称阻滞生长板来进行生长调控的外科技术。在永久性HED中，手术的精确时机对于实现最佳矫正至关重要。通过诸如双孔钢板或弹性钉等张力带装置进行的临时性HED已成为生长引导的首选治疗方法，效果极佳。通过植入物改良，与植入物相关的并发症已显著减少。甚至有几种实验性方法有可能在无需手术干预的情况下实现生长调控。
