Ishikawa H, Abrahan L M, Hirohata K
Arch Orthop Trauma Surg (1978). 1984;103(3):215-8. doi: 10.1007/BF00435557.
Genu recurvatum is a rare complication of prolonged skeletal traction. The literature reports very few cases, the majority secondary to wire traction applied to the tibia in the treatment of femoral shaft fractures. A case of genu recurvatum in a 12-year-old girl as a complication of prolonged femoral skeletal traction was treated at the Kobe University Hospital. A proximal open wedge tibial osteotomy using iliac bone grafts was the surgical treatment initiated at the time of diagnosis. Follow-up after 1 year showed recurrence of the genu recurvatum. Early surgical intervention, prolonged casting and application of knee orthosis were all contributory factors in the recurrence of genu recurvatum in our patient. It should be emphasized that extreme care should be taken in treating femoral shaft fractures in children, especially those requiring wire traction in the tibia or femur, in order to prevent genu recurvatum.
膝反屈是长期骨骼牵引的一种罕见并发症。文献报道的病例很少，大多数是在股骨干骨折治疗中对胫骨应用钢丝牵引所致的继发性病例。神户大学医院治疗了一例12岁女孩因长期股骨骨骼牵引导致膝反屈的病例。诊断时开始采用带髂骨移植的近端开放性楔形胫骨截骨术作为手术治疗方法。1年后的随访显示膝反屈复发。早期手术干预、长期石膏固定以及膝关节矫形器的应用都是导致我们这位患者膝反屈复发的因素。应当强调的是，在治疗儿童股骨干骨折时，尤其是那些需要对胫骨或股骨进行钢丝牵引的骨折，应格外小心，以防止膝反屈。
