Sasaki T, Yagi T, Monji J, Yasuda K, Kanno Y
J Pediatr Orthop. 1986 Jan-Feb;6(1):61-5.
Transepiphyseal plate osteotomy of the medial tibial condyle was performed in three children (four knees) with severe progressive tibia vara and excessive ligamentous laxity. Two knees with Blount disease underwent tibial valgus osteotomy and epiphysiodesis associated with transepiphyseal plate osteotomy, and two knees with pseudoachondroplasia underwent tibial valgus osteotomy. Follow-up study at the time of skeletal maturity revealed satisfactory alignment of the leg, favorable congruity of the joint, and good ligamentous stability in all cases. Our experience indicates that the present procedures are excellent, although there are very few documented cases and almost no description of the postoperative clinical courses.
对3例患有严重进行性胫骨内翻且韧带过度松弛的儿童（4个膝关节）实施了胫骨内侧髁骨骺板截骨术。2例患有布朗特病的膝关节接受了胫骨外翻截骨术、骺骨干固定术以及骨骺板截骨术，2例患有假性软骨发育不全的膝关节接受了胫骨外翻截骨术。骨骼成熟时的随访研究显示，所有病例的下肢对线良好、关节匹配度良好且韧带稳定性良好。我们的经验表明，尽管记录在案的病例很少，且几乎没有关于术后临床过程的描述，但目前的手术方法非常出色。
