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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。

相似文献

1
[Progressive lengthening of the upper limb in 2 patients].[2例患者上肢的渐进性延长]
Rev Chir Orthop Reparatrice Appar Mot. 1982;68(6):385-9.
2
[Operations for lengthening the upper limbs in children and adolescents].
Chir Pediatr. 1989;30(2):109-16.
3
[Progressive forearm lengthening in children: 14 cases].[儿童渐进性前臂延长术:14例报告]
Rev Chir Orthop Reparatrice Appar Mot. 2001 Dec;87(8):786-95.
4
Distraction lengthening of the ulna in children with radial longitudinal deficiency.桡骨纵向发育不全患儿尺骨的牵引延长术
J Hand Surg Am. 2007 Nov;32(9):1402-7. doi: 10.1016/j.jhsa.2007.07.024.
5
[Humerus varus congenitus (author's transl)].
Rev Chir Orthop Reparatrice Appar Mot. 1979 Jan-Feb;65(1):45-8.
6
Humeral lengthening in hypoplasia of the upper limb.上肢发育不全中的肱骨延长术。
J Pediatr Orthop. 1985 Mar-Apr;5(2):202-7.
7
Lengthening of the forearm by the Ilizarov technique.
Clin Orthop Relat Res. 1990 Jan(250):125-37.
8
[Bone lengthening of the extremities using the Ilizarov method].
Ugeskr Laeger. 1995 Mar 20;157(12):1678-80.
9
[Arm lengthening in children. Report of 4 cases].
Chirurgie. 1990;116(2):184-9.
10
[Upper metaphyseal lengthening of the tibia. Report of 57 cases in children and adolescents].[胫骨近端干骺端延长术。57例儿童及青少年病例报告]
Rev Chir Orthop Reparatrice Appar Mot. 1994;80(6):532-41.

引用本文的文献

1
Humerus Lengthening with a Motorized Intramedullary Nail: A Systematic Review of Outcomes and Complications.使用电动髓内钉延长肱骨:结局与并发症的系统评价
Strategies Trauma Limb Reconstr. 2022 Sep-Dec;17(3):165-171. doi: 10.5005/jp-journals-10080-1568.
2
Short humerus: results of 11 prolongations in 10 children and adolescents.
Arch Orthop Trauma Surg. 1991;111(1):13-5. doi: 10.1007/BF00390185.