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运用骨骺骨膜切除术治疗22例儿童膝关节畸形,并评价其结果。22例27个膝关节获得性畸形,年龄5～12岁,其中膝反屈18例;膝外翻4例。临床表现严重跛行,膝关节畸形无法代偿并有进一步加重趋势。X 线片表现局部骨骺发育迟缓,且患儿无手术禁忌证,运用骨骺部发育迟缓处骺线上下1mm 以内骨膜切除治疗。经2年3个月随访,1例术后处理欠妥,1例骨膜切除范围不足,经再次切除骨膜,其余膝关节畸形一次手术矫正,且无新的畸形出现。骨膜切除术,解除了骨骺部生长约束力,刺激快长,可作为儿童膝关节畸形矫正的一种方法。
The use of epiphyseal periosteal resection of 22 cases of children with knee deformities, and evaluate the results. Twenty-two cases of 27 knees were acquired deformity, aged 5 to 12 years, of which 18 cases were knee flexion and 4 cases were valgus. Clinical manifestations of severe limp, knee deformities can not be compensated and further aggravate the trend. X-ray showed local epiphyseal growth retardation, and no contraindication in children, the use of epiphysis Department of epiphyseal development epiphyseal line within 1mm periosteal resection. After 2 years and 3 months of follow-up, one case was not properly treated and one case had insufficient periosteal resection. After resection of the periosteum, the other knee deformities were surgically rectified without any new deformity. Periostectomy, lifting the epiphyseal growth restraint, fast growth, can be used as a method of correction of knee deformities in children.