Lerat J L, Lecuire F, Berard J, Rebouillat J
Chir Pediatr. 1980;21(1):77-88.
On the basis of 7 personal cases of pseudarthrosis and of congenital curvature of the leg reported in detail, including 6 in which consolidation was obtained with a valid follow up (5 cases for more than 14 years), a review is undertaken of the results of surgical techniques. Analysis of these 7 cases and of 82 sufficiently detailed cases from the literature indicate that the transtarsal nailing suggested by Guillemin, combined with corticospongiose grafts, remains the technique of choice. A number of suggestions are made on particular technical points. This method results in consolidation and above all offers the best protection against recurrent fractures whilst retaining a good axis and without interfering with growth. It is the method which limits to a minimum the sequelae of shortening and valgus deformity of the ankle. Indications differ for curvatures and constituted pseudarthroses and the age at which treatment should be started is discussed.
基于详细报道的7例假关节和先天性腿部弯曲的个人病例，其中6例获得骨愈合且有有效的随访（5例随访超过14年），本文对手术技术的结果进行了综述。对这7例病例以及文献中82例足够详细的病例分析表明，吉耶曼提出的经跗骨穿钉术结合皮质松质骨移植，仍然是首选技术。针对特定技术要点提出了一些建议。该方法可实现骨愈合，最重要的是能提供最佳的防骨折复发保护，同时保持良好的轴线，且不影响生长。它是将踝关节缩短和外翻畸形后遗症限制到最小的方法。对于弯曲和形成的假关节，适应证有所不同，并讨论了开始治疗的年龄。
