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在成骨不全症中,儿童期不进行髓内钉固定,尤其是不使用接骨板。

[In osteogenesis imperfecta no intramedullary nailing and especially no bone plates in childhood].

作者信息

Mau H

出版信息

Z Orthop Ihre Grenzgeb. 1982 May-Jun;120(3):297-308. doi: 10.1055/s-2008-1051618.

Abstract

This is a review of 24 patients with osteogenesis imperfecta of all age groups. 7 severe cases have been followed closely during growth for at least 10 years after multiple series of osteotomies with stabilisation by rodding and plating. The conclusion of the disappointing late results consists in that plating has to be abandoned completely during growth. The indication for rodding has to be restricted severely because of the necessity for replacement of the nails about every two year until cessation of growth. Special operative indications are outlined.

摘要

这是一篇对各年龄组24例成骨不全患者的综述。7例重症患者在生长过程中接受了多次截骨术,并用棒材和钢板固定,之后至少密切随访了10年。令人失望的晚期结果表明,在生长过程中必须完全放弃使用钢板。由于在生长停止前大约每两年就需要更换一次髓内钉,因此使用棒材的指征必须严格限制。文中概述了特殊的手术指征。

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