Olerud C, Danckwardt-Lillieström G, Olerud S
Arch Orthop Trauma Surg (1978). 1986;106(1):64-8. doi: 10.1007/BF00435656.
Two cases of genu recurvatum deformity and leg length discrepancy after partial growth arrest of the proximal tibial physis are described. The patients are both boys thirteen and fifteen years old respectively. The etiology of the deformity is considered to be local pressure on the tibial tuberosity, in the first case after treatment with plaster cast after correction of an angular deformity in a tibial fracture and in the second case after prolonged treatment with patellar tendon bearing brace. The boys were treated with physeal distraction which corrected both the leg length discrepancy and the angular deformity. The technique is recommended because the correction is done at the site of the deformity and knee motion is possible during the entire treatment period.
本文描述了两例胫骨近端骨骺部分生长停滞导致膝反屈畸形和下肢长度不等的病例。两名患者均为男孩，分别为13岁和15岁。畸形的病因被认为是胫骨结节处的局部压力，第一例是在胫骨骨折角形畸形矫正后用石膏固定治疗后出现，第二例是在使用髌腱承重支具长期治疗后出现。两名男孩均接受了骨骺牵张治疗，该治疗矫正了下肢长度不等和角形畸形。推荐该技术，因为矫正在畸形部位进行，并且在整个治疗期间膝关节均可活动。
