Oyemade G A
Int Orthop. 1981;5(4):241-5. doi: 10.1007/BF00271077.
One hundred and fourteen patients with primary knee deformity either genu varum, genu valgum or combined varus and valgus deformities were treated with serial plaster cylinder casts and wedging for six to nine months. The children were aged between 2 to 13 years, the peak incidence being in the third year of life. Forty-seven of the patients were found to have active or healed rickets but the remaining patients showed no evidence of rachitic lesions. Results showed that serial corrective plaster casts gave a satisfactory cosmetic appearance in 69 patients but the older the patient the less favourable was the result. Eighteen patients were resistant and underwent surgical osteotomy of the femur or tibia; in four instances multiple osteotomy was required. The conclusion was that plaster of Paris casts were a safe and effective method of correcting primary deformity of the knee in the majority of the patients.
114例患有原发性膝关节畸形（膝内翻、膝外翻或合并内外翻畸形）的患者接受了连续石膏管型及楔形矫正治疗，为期6至9个月。这些儿童年龄在2至13岁之间，发病高峰在3岁。47例患者被发现有活动性佝偻病或佝偻病已愈合，但其余患者未显示有佝偻病病变的迹象。结果显示，连续矫正石膏管型使69例患者获得了满意的外观，但患者年龄越大，效果越不理想。18例患者对治疗有抵抗，接受了股骨或胫骨截骨手术；4例需要进行多次截骨。结论是，巴黎石膏管型是纠正大多数患者原发性膝关节畸形的一种安全有效的方法。
