加压固定—潜行截骨延长治疗先天性胫骨假关节  

Investigation of Congenital Pseudarthrosis of Tibia with External Skeletal Compression Fixation and Simultaneous Closed Osteotomy Lengthening

作　　者：杨晓明[1] 黄家志[1] 甘坤宁[1] 周竖平[1] 刘剑伟[1] 黄永栋[1] 蒋卫平[1] 韦冰丹[1] 

机构地区：[1]广西医科大学第三附属医院骨科,广西南宁530031

出　　处：《中国伤残医学》2013年第7期9-10,共2页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的:探讨加压固定—潜行截骨延长治疗先天性胫骨假关节的疗效。方法:采用加压固定—潜行截骨延长治疗11例先天性胫骨假关节患者。通过彻底切除假关节及周围病变,安装球面万向骨折复位外固定器进行矫正加压并行胫骨近端"针锯"潜行截骨延长。结果:通过随访,11例假关节均获得骨性愈合,2例残留轻度足外翻畸形。结论:加压固定—潜行截骨延长治疗先天性胫骨假关节是一种行之有效的方法。Ojective：Investigate the efficacy of treatment of congenital pseudarthrosis of tibia with external skeletal compression fixa- tion and simultaneous closed osteotomy lengthening. Methods： 11 cases of congenital pseudarthrosis were treated by external skeletal com- pression fixation and simultaneous closed osteotomy lengthening, after resccting of the pseudarthrosis and tile surrounding pathological changes,two ends of pseudarthrosis were corrected and compressed by performing ＂multiple- plane and double -track elongation instru- ment, and then the tibia of the proximal were extended by ＂needle saw＇. Results ： By following - up, bone union were achieved in all 11 pseudarthrosises, slight valgus deformity of ankle were residued in two patients. Conclusion：It is a practical and safe surgical manner to treat congenital pseudarthrosis of tibia with external skeletal compression fixation and simultaneous closed osteotomy lengthening.

关 键 词：先天性胫骨假关节 加压固定 延长治疗 潜行截骨 球面万向骨折复位外固定器 足外翻畸形 周围病变 截骨延长 

分 类 号：R682[医药卫生—骨科学]