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[维生素D抵抗性佝偻病(磷酸盐糖尿病)的骨科问题]

[Orthopedic problems of vitamin D-resistant rickets (phosphate diabetes)].

作者信息

Schwägerl W

出版信息

Fortschr Med. 1983 Jul 28;101(27-28):1287-92.

PMID:6311705
Abstract

Results of the operative treatment of phosphate-diabetes are presented on the basis of our own patients. Deformations of the lower extremities need in case of a disturbed function and disfigurement of the gait picture a surgical correction, by which we should strive as much as possible for physiological axial proportions in both planes. For young children osteoclasis with fixation in plaster cast will suffice, for adolescents and grown-ups we prefer stable osteosynthesis. An adequate straightening, combined with a regular control of the mineral metabolism and an appropriate drug therapy, guarantee good long-term results and absence of recidivity.

摘要

基于我们自己的患者情况,介绍了磷酸盐糖尿病的手术治疗结果。下肢畸形在功能障碍和步态外观受损的情况下需要进行手术矫正,我们应尽可能在两个平面上实现生理轴向比例。对于幼儿,骨折碎骨术并石膏固定就足够了,对于青少年和成年人,我们更倾向于稳定的骨固定术。适当的矫正,结合对矿物质代谢的定期监测和适当的药物治疗,可确保良好的长期效果且无复发。

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