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[2例患者上肢的渐进性延长]

[Progressive lengthening of the upper limb in 2 patients].

作者信息

Des Gachons S P, Pouliquen J C, Penneçot G F

出版信息

Rev Chir Orthop Reparatrice Appar Mot. 1982;68(6):385-9.

PMID:6217522
Abstract

In one case, a short humerus due to trauma in infancy was lengthened by 7 cm at the age of 15 years. The operation was done in two stages. At the first stage, through a lateral approach with mobilisation of the radial nerve, an osteotomy followed by a progressive lengthening of the humerus, stabilised by an external fixator was used. The second stage employed a medial approach with a bone graft and bone fixation. In the second case, lengthening of 7 cm of the ulna to correct shortening due to a congenital defect was performed. In both cases the functional and cosmetic results were satisfactory despite transitory radial or ulnar palsies.

摘要

在一个病例中,一名因婴儿期创伤导致肱骨短小的患者在15岁时肱骨被延长了7厘米。手术分两个阶段进行。第一阶段,通过外侧入路并游离桡神经,进行截骨术,然后使用外固定器对肱骨进行渐进性延长并固定。第二阶段采用内侧入路进行骨移植和骨固定。在第二个病例中,对尺骨进行了7厘米的延长以纠正先天性缺陷导致的缩短。在这两个病例中,尽管出现了短暂的桡神经或尺神经麻痹,但功能和外观结果均令人满意。

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