Department of Paediatric Orthopedics, Sancheti Institute for Orthopedics and Rehabilitation, Pune, India.
JBJS Case Connect. 2024 Sep 20;14(3). doi: e23.00593. eCollection 2024 Jul 1.
A 3-year-old boy with unilateral tibia vara was diagnosed with focal fibrocartilaginous dysplasia (FFCD) of the left proximal tibia. Because of progressive deformity with intercondylar distance of 9 cm and tibia metaphyseal-diaphyseal angle of 28°, the child was treated with curettage of the lesion and lateral proximal tibia hemiepiphysiodesis with 8 plates. The deformity was corrected within 12 months, the implant was removed, and the child is being followed up till skeletal maturity.
Curettage of the lesion and guided growth with an 8-plate is a viable treatment method for FFCD of the proximal tibia with progressive tibia vara deformity.
一名 3 岁男孩因单侧胫骨弯曲被诊断为左侧胫骨近端局灶性纤维软骨发育不良(FFCD)。由于进行性畸形,髁间距离为 9cm,胫骨干骺端-骨干角为 28°,患儿接受了病变刮除和 8 块外侧胫骨近端骺板骺离术治疗。12 个月内畸形得到矫正,植入物被取出,患儿一直随访至骨骼成熟。
病变刮除和 8 块板引导生长是治疗进行性胫骨弯曲性 FFCD 的一种可行方法。