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目的探讨顽固性小儿先天性胫骨假关节改良术式的临床治疗效果。方法1999年1月～2005年8月对顽固性小儿先天性胫骨假关节7例患儿,男5例,女2例,年龄2～11岁,采用带监测皮岛的游离腓骨移植,胫骨假关节切除及胫骨部分骨膜环剥,血管束植入的综合方法治疗。结果经1～4年的随访,平均1.5年,7例患儿假关节均已骨性愈合,其中4例已在支具保护下负重,3例完全不需支具保护负重。随访期间未出现再骨折现象。结论以最大限度的切除病变组织,改善局部血循环为中心的改良术式对于顽固性小儿先天性胫骨假关节的治疗有较好的疗效。
Objective To investigate the clinical effect of intractable pediatric congenital pseudarthrosis of the tibia. Methods From January 1999 to August 2005, 7 children with refractory tibial pseudarthrosis of congenital pediatric children, 5 males and 2 females, aged 2 to 11 years old, were treated with free fibula transplantation with monitoring skin island, tibial leave Joint resection and partial tibial periosteal debridement, vascular bundle implantation comprehensive treatment. Results After 1 to 4 years of follow-up, with an average of 1.5 years, seven cases of children had bony union, of which 4 cases had been bracing under the protection of bracing and 3 cases without bracing. No further fractures occurred during follow-up. Conclusion The modified surgical technique with maximal removal of diseased tissue and improvement of local blood circulation has a good effect on the treatment of intractable pediatric congenital tibial pseudarthrosis.