腓骨瓣加内外固定结合治疗先天性胫骨假关节  

Clinical study of improved operation in therapy of congenital pseudarthrosis of tibia

作　　者：谭琪[1] 刘光军[1] 田清业[1] 李爱华[1] 

机构地区：[1]山东潍坊中国人民解放军第89医院,261021

出　　处：《中华小儿外科杂志》2011年第3期206-209,共4页Chinese Journal of Pediatric Surgery

摘　　要：目的 评价利用改良手术方式，治疗先天性胫骨假关节的临床效果。方法 对先天性胫骨假关节10例患儿，采用彻底切除病灶，带监测皮岛的游离或局部转移腓骨瓣移植，环式固定架外固定加髓内针内固定相结合的综合方法治疗。结果 经1～3．5年（平均2．1年）随访，10例患儿中9例胫骨假关节完全愈合，不需支具保护即能负重行走，且随访期间未出现再骨折现象，但均遗留肢体短缩，1例假关节复发。结论 最大限度的避免一切影响骨质愈合因素：彻底切除病变组织，改善局部血循环，牢固的外固定及中心固定，改良术式能提高先天性胫骨假关节的疗效。Objective To evaluate the long-term results of upgrade method in the treatment of congenital pseudarthrosis of tibia. Methods Ten patients with congenital pseudarthrosis of tibia were admitted in this institute. All of them underwent our new operation including resection of the tibia pseudarthrosis,ablation of part of tibia, transplantation of free fibula with flap, and vascular bundle implantation. The long-term results were recorded and analyzed, Results Results was obtained in all 10 cases after 6 months. Nine cases healed completely and could walk with no support. There was no refracture during 1 to 3.5 years follow-up （mean 2. 1 years）. All patients had limb shortening. And only one case recurred. Conclusions The new surgical method, resection of impaired tissue and improvement of blood supply,could get satisfactory results in children with congenital pseudarthrosis of tibia.

关 键 词：假关节 先天性 胫骨 外固定器 内固定器 

分 类 号：R687.3[医药卫生—骨科学]