摘要
自1983年1月～1987年5月止,对脊髓灰质炎后遗症等疾病引起的下肢不等长的23例患者;采用骨骺牵伸延长治疗,均达到延长目的,延长长度在4.5～10cm。股骨远端骨骺牵伸延长2例,胫骨和腓骨的近端骨骺同时牵仲无需腓骨切骨延长19例。另2例骨骺未能牵脱而改用手术,在骺板下部位横断胫骨。以上除1例延期愈合外均达到骨性愈合。术后观察,4例骺板早闭。
This report presents 23 cases of lower leg inequality resulting from sequelae of infantile paralysis, etc, treated with epiphyseal catatasis elongation, from January 1983 to May 1987. The site of incision were the proximal tibia and fibula in 19 cases and distal femor in 2 cases. Two Kirschner's wires were inserted into the epiphysis and another two into the diaphysis of the shortened bone. All the wires were connected with a distraction-fixation apparatus and lengthened 1mm under strict control everyday. Two cases failed to be extended and tibial transection across the lower part of epiphyseal plate was performed.All the cases' legs were elongated 4.5～10cm successfully and healed except healing in 1 case. Postoperatively, 4 cases showed early epiphyseal occlusion.
出处
《铁道医学》
1990年第4期200-202,共3页
Railway Medical Journal
关键词
骨骺
牵引术
足畸形
epiphyscs traction clubfoot
