关节镜下骨桥切除联合半侧骨骺阻滞治疗胫骨远端骨骺早闭所致踝关节畸形1例  

A case report on arthroscopic bone bridge resection combined with hemi-epiphyseal block in the treatment of ankle deformity caused by premature closure of distal tibial epiphysis

作　　者：黄顺颖 黄江发[2] 管建豪 林锦浩 许忆浪 刘岩[2] HUANG Shunying;HUANG Jiangfa;GUAN Jianhao;LIN Jinhao;XU Yilang;LIU Yan(Second Clinical Medical College,Guangzhou University of Chinese Medicine,Guangdong Province,Guangzhou 510405,China;Department of Orthopedics,Guangdong Provincial Hospital of Chinese Medicine,Guangdong Province,Guangzhou 520105,China)

机构地区：[1]广州中医药大学第二临床医学院,广东广州510405 [2]广东省中医院骨科,广东广州520105

出　　处：《中国医药导报》2022年第20期181-184,193,共5页China Medical Herald

基　　金：广东省医学科学技术研究基金项目(B2020167)。

摘　　要：胫骨远端骨骺早闭所致的踝关节畸形是儿童骨折严重的并发症,目前对于其治疗仍存争论。为探讨儿童胫骨远端骨骺早闭所致踝关节畸形的治疗,降低手术技巧难度,开拓操作思路,本文回顾性分析广东省中医院骨科的1例骨骺早闭所致踝关节畸形患儿的临床资料。通过分析患儿年龄、症状、骨桥类型,复习相关文献,探讨治疗方案,并为关节镜下中央型骨桥的切除提供临床诊疗经验。本例患儿畸形的成因主要是骨桥形成。自Langenskiold第1次应用骨桥切除术以来,该技术就以对操作技巧要求高著称,尤其是中央型骨桥,以往的C臂机、导航系统引导都存在不足。采用关节镜监视引导,可为骨桥切除准确性、畸形矫正更好地提供保障。Ankle deformity caused by premature closure of distal tibial epiphysis is a severe complication of fracture in children,and its treatment is still controversial currently.In order to explore the treatment of ankle deformity caused by premature closure of distal tibial epiphysis in children,reduce the difficulty of surgical skills and explore operational ideas,this paper retrospectively analyzes clinical data of a child with ankle deformity caused by premature closure of distal tibial epiphysis in Department of Orthopedics of Guangdong Provincial Hospital of Chinese Medicine.By analyzing the age,symptoms,and bone bridge types of children,reviewing relevant literature,discussing treatment scheme,and providing clinical diagnosis and treatment experience for arthroscopic resection of central bone bridge.The main cause of the deformity in this case is the formation of bone bridge.Since Langenskiold applied bone bridge resection for the first time,this technology is famous for its high requirements for operation skills,especially the central bone bridge.There are deficiencies in the previous C-arm machine and navigation system guidance.Arthroscopic monitoring and guidance can provide better guarantee for the accuracy of bone bridge resection and deformity correction.

关 键 词：胫骨远端骨骺早闭 踝关节畸形 关节镜 骨桥切除 骨骺阻滞 

分 类 号：R681.4[医药卫生—骨科学]