摘要
目的探讨顽固性小儿先天性胫骨假关节改良术式的临床治疗效果。方法1999年1月～2005年8月对顽固性小儿先天性胫骨假关节7例患儿,男5例,女2例,年龄2～11岁,采用带监测皮岛的游离腓骨移植,胫骨假关节切除及胫骨部分骨膜环剥,血管束植入的综合方法治疗。结果经1～4年的随访,平均1.5年,7例患儿假关节均已骨性愈合,其中4例已在支具保护下负重,3例完全不需支具保护负重。随访期间未出现再骨折现象。结论以最大限度的切除病变组织,改善局部血循环为中心的改良术式对于顽固性小儿先天性胫骨假关节的治疗有较好的疗效。
Objective To evaluate the long-term results of upgrade method for the treatment of refractory congenital pseudarthrosis of tibia in children. Methods Seven patients with refractory congenital pseudarthrosis of tibia were admitted in this institute. They all underwent our new operation including resection of the tibia pseudarthrosis, ablation of part tibia, transplantation of free fibula with observed flap, and vascular bundle implantation. The long-term results were recorded and analyze＆ Resalts Synostosis was obtained in all 7 cases in a mean time of 6 months. Four cases walked under orthosis support,and the other 3 case walked freely. There was no refracture during 1 to 4 years followup （mean 1.5 years）. Conclusions Resection of impaired tissue and improvement of blood supply can get a satisfactory result for children with refractory congenital pseudarthrosis of tibia.
出处
《中华小儿外科杂志》
CSCD
北大核心
2007年第4期193-195,共3页
Chinese Journal of Pediatric Surgery
关键词
胫骨
假关节
Tibia
Pseudarthrosis
