股骨、胫骨和腓骨外翻截骨治疗婴幼儿型Blount病  

Metaphyseal and diphyseal osteotomy for correction of infantile Blount disease

作　　者：刘杰[1] 曹蕾[2] 郭士方[1] 王和平[1] 台会平[1] 李德霞[1] 何宗儒 钱耀文[1] 

机构地区：[1]甘肃省人民医院骨科,甘肃兰州730000 [2]甘肃省妇幼保健院儿科,甘肃兰州730030

出　　处：《临床骨科杂志》2015年第1期64-66,共3页Journal of Clinical Orthopaedics

摘　　要：目的探讨经股骨、胫骨和腓骨外翻截骨治疗婴幼儿型Blount病的临床疗效。方法对7例婴幼儿型Blount病患儿行股骨、胫骨和腓骨外翻截骨,术后予以髋人字石膏固定6周。结果 7例均得到随访,时间3～16年。6例无任何膝关节疼痛不适;1例双侧胫骨内翻患儿长时间站立、行走后,左膝关节有疼痛,再次行左胫骨近端外翻截骨后畸形得到矫正,疼痛消失。结论经股骨、胫骨和腓骨外翻截骨治疗婴幼儿型Blount病,并发症少,临床疗效满意。Objective To investigate the effect of using femur,tibia and fibula osteotomies to treat infantile Blount disease. Methods 7 patients of Blount disease were treated by femur,tibia and fibula valgus oteotomies,and after operation,a hip spica cast were used for 6 weeks. Results All patients were followed up for 3 ～ 16 years. 6 patients could walk without any knee pain,except 1 patient with bilateral disorder felt his left genu uncomfortable after long time stand or walk,and after tibia valgus oteotomies again,there was no pain about his knee. Conclusions Femur,tibia and fibula osteotomies are useful for correction of Blount disease. The complication is less and can get satisfied result.

关 键 词：Blount病 外翻截骨 胫骨内翻 

分 类 号：R682.1[医药卫生—骨科学] R687.3[医药卫生—外科学]