Jayakumar S S, Eilert R E
Clin Orthop Relat Res. 1979 Mar-Apr(139):97-101.
In patients with congenital absence of the tibia, construction of a knee joint by transferring the fibula under the femoral condyle gives satisfactory results, provided a strong quadriceps is present. In the rare patient with an associated proximal focal femoral deficiency on the same side, even in the absence of a strong quadriceps, this procedure with a fibulofemoral fusion will give a longer stump, allowing better prosthetic fitting. The procedure is performed as early as the first year of life.
在先天性胫骨缺如的患者中,若股四头肌强壮,通过将腓骨转移至股骨髁下方构建膝关节可取得满意效果。在极少数同一侧伴有近端股骨局灶性缺损的患者中,即便股四头肌不强壮,行腓骨-股骨融合术也能获得更长的残端,利于更好地安装假肢。该手术最早在出生后第一年进行。