Scott A C, Urquhart B A, Cain T E
University of Texas Medical School at Houston, USA.
Orthopedics. 1996 Oct;19(10):857-61. doi: 10.3928/0147-7447-19961001-07.
Epiphysiodesis of the lower extremity for limb-length discrepancy has been performed on 24 patients by both the modified Phemister and a percutaneous method. The primary complication of epiphysiodesis by both methods was continued growth of the physeal plate (12% and 15%, respectively). Failure of epiphysiodesis was attributed to young skeletal age at surgery in three of five cases. Closer attention to physeal ablation and close follow up should prevent this complication. No angular deformities resulted in any patient. During 16 proximal fibular procedures, there were no neurologic complications. The percutaneous method is preferred due to ease of surgical procedure, minimal incisions, limited disability to the normal extremity, and equal results.
采用改良的菲米斯特法和经皮方法对24例下肢长度不等的患者进行了骨骺阻滞术。两种方法进行骨骺阻滞术的主要并发症均为骨骺板持续生长（分别为12%和15%）。5例中有3例骨骺阻滞失败归因于手术时骨骼年龄较小。更密切地关注骨骺切除并密切随访应可预防这一并发症。所有患者均未出现角状畸形。在16例近端腓骨手术中，未出现神经并发症。由于手术操作简便、切口最小、对正常肢体的功能影响有限且效果相同，因此首选经皮方法。
