Suger G, Liener U, Schmelz A, Kinzl L
Abteilung für Unfallchirurgie, Hand- und Wiederherstellungschirurgie, Universität Ulm.
Chirurg. 1998 Nov;69(11):1167-77. doi: 10.1007/s001040050554.
Post-traumatic deformities do occur as a result of disturbed fracture healing with loss of bone stock, necrosis of fragments or the development of pseudarthrosis resulting in malunion or progressive malalignment. In the majority of the cases these disturbances can be related to technical problems of primary fracture treatment like insufficient reduction or implant failure. On the other hand, complex deformities with involvement of the adjacent joints may also be a result of injuries of the growth plate in childhood. In some cases primary correction is impossible because of critical conditions of the bone and the soft tissue envelope in the center of deformation. If a secondary correction is indicated, knowledge of all reconstructive techniques is essential to choose the appropriate method and carry out successful and exact correction of malalignment of the affected limb after detailed planning.
创伤后畸形确实会因骨折愈合紊乱而发生,伴有骨量丢失、骨折碎片坏死或假关节形成,导致畸形愈合或渐进性畸形排列。在大多数情况下,这些紊乱可能与初次骨折治疗的技术问题有关,如复位不充分或植入物失败。另一方面,累及相邻关节的复杂畸形也可能是儿童期生长板损伤的结果。在某些情况下,由于畸形中心的骨骼和软组织包膜的危急状况,初次矫正不可能实现。如果需要进行二次矫正,了解所有重建技术对于选择合适的方法并在详细规划后成功且精确地矫正患肢的畸形排列至关重要。