Suwannaphisit Sitthiphong, Kawamura Kenji, Omokawa Shohei
Department of Orthopaedics, Faculty of Medicine Vajira Hospital, Navamindradhiraj University, Bangkok, Thailand.
Department of Orthopaedic Surgery, Nara Medical University, Nara, Japan.
J Plast Reconstr Surg. 2024 Nov 22;4(3):137-144. doi: 10.53045/jprs.2024-0032. eCollection 2025 Jul 27.
A 39-year-old woman diagnosed with persistent congenital tibial pseudoarthrosis until adulthood presented with a right leg angular deformity, associated pain, and significant limb length discrepancy. Over a 17-year period, the case was closely monitored and treated through excision of the pseudarthrosis, vascularised fibular graft with bone marrow-derived and cultured mesenchymal cells, combined with highly purified β-tricalcium phosphates, internal fixation, and the application of a ring Ilizarov fixator. The successful union of bones and correction of deformities was achieved through consideration of both mechanical and biological aspects.
一名39岁女性，直到成年才被诊断出患有持续性先天性胫骨假关节，出现右腿成角畸形、相关疼痛和明显的肢体长度差异。在17年的时间里，对该病例进行了密切监测，并通过切除假关节、带骨髓来源和培养间充质细胞的带血管腓骨移植、联合高纯度β-磷酸三钙、内固定以及应用环形伊利扎罗夫固定器进行治疗。通过综合考虑机械和生物学方面，实现了骨的成功愈合和畸形矫正。
