论文部分内容阅读
目的探讨多段截骨矫形钛板植骨加钛板与克氏针内固定治疗儿童脆骨病致胫腓骨畸形的临床疗效。方法笔者自2008-01—2014-09诊治脆骨病(OI)致胫腓骨骨折及骨畸形患儿11例,经术前三维重建胫腓骨,测量畸形角度、设计截骨位置及角度,采用多段截骨矫形钛板植骨加钛板与克氏针内固定治疗。结果 11例均获得平均19.6(6~36)个月随访,骨折平均愈合时间13.2(11~16)周。术后肢体长度较术前平均延长19(11~26)mm。切口均一期愈合,未发现明显排异反应,无血管及神经损伤、内固定松动断裂,术肢无感染、骨不连等并发症。其中2例后期出现其他部位骨折。术后患儿生活自理能力得到较大改善。结论多段截骨矫形钛板植骨+克氏针内固定治疗脆骨病致胫腓骨畸形,能明显矫正肢体畸形,有效降低再骨折及骨畸形愈合的发生率。
Objective To investigate the clinical effect of multi-segment osteotomy on titanium bone graft combined with titanium plate and Kirschner wire fixation in the treatment of tibia-fibular deformity caused by brittle-bone in children. Methods From January 2008 to September 2014, the author diagnosed 11 cases of tibiofibular fractures and osteomalacia due to brittle-bone disease (OI). Three-dimensional reconstructed tibiofibular preoperatively, the angle of deformity were measured, and the position and angle of osteotomy were designed. Orthopedic bone graft with titanium plate and Kirschner wire fixation. Results All the 11 cases were followed up for an average of 19.6 months (ranged from 6 to 36 months). The average healing time was 13.2 (11-16) weeks. Postoperative limb length than the average extension of 19 (11 ~ 26) mm. The wounds were healed in one time, no obvious rejection, no vascular and nerve injury, loose and internal fixation, no infection of the limbs, nonunion and other complications. Two cases of other parts of the late fracture. Children’s self-care ability has been greatly improved after surgery. Conclusion Multi-segment osteotomy and Kirschner wire fixation with Kirschner wire fixation for the treatment of tibial and fibular deformities caused by brittle-bone disease can significantly correct limb deformity and reduce the incidence of re-fractures and bone malformations.