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患者,男,6岁。因左胫骨上段骨髓炎处理不当致左小腿短缩、畸形、功能障碍3年余入院。体检:左小腿上段前内侧有4.2×2.5cm皮肤疤痕。左下肢短缩8.0cm,小腿向后外侧弯曲畸形。X线片示左胫骨中上段缺损6.2cm,并有一块游离小死骨,远段胫骨萎缩变细,腓骨头向上脱位。腓骨于增粗而向后外侧弯曲,外踝下移。治疗方法:先行左跟骨牵引,左小腿恢复长度后行腓骨转位术。手术在气囊止血带下进行,作左小腿Harmon切口,沿后外侧进路解剖出腓总神经和腓血管。行腓骨骨
Patient, male, 6 years old. Left upper tibial osteomyelitis due to improper handling caused by left leg shortening, deformity, dysfunction more than 3 years admitted to hospital. Physical examination: the left upper leg before the medial 4.2 × 2.5cm skin scar. Left lower extremity shortening 8.0cm, lateral deformity deformed calf. X-ray showed the left upper tibial defect 6.2cm, and there is a small free bones, distal atrophy of the tibia, fibular head upward dislocation. Fibula in the thickening and posterolateral bending, lateral malleolus down. Treatment: first left-sided traction, the left leg to restore the length of the fibula transposition. Surgery in the balloon tourniquet, Harmon leg for the left incision, along the posterolateral approach to dissect the common peroneal and fibular vessels. Fibula bone line