Experience of bone bridge resection and bone wax packing for partial growth arrest of distal tibia.
Experience of bone bridge resection and bone wax packing for partial growth arrest of distal tibia.
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骨桥切除加骨蜡填塞治疗胫骨远端部分生长停滞的经验
DOI：
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发表时间：
2008
期刊：
影响因子：
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通讯作者：
T. Kubo
中科院分区：
文献类型：
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作者：
Takashi Yoshida;Wook;Y. Tsuchida;Toshiko Hirashima;Yoshinobu Oka;T. Kubo
采用骨桥切除术和骨蜡填充技术治疗胫骨远端部分生长停止2例。他们手术时的平均年龄为7岁，两人都在事故中受伤，并且都接受过经皮钉扎和石膏石膏的治疗。不幸的是，胫骨远端部分生长停止，踝关节内翻畸形逐渐发展。初次治疗后约1年，行骨桥切除术及骨蜡填塞。平均随访80个月。没有骨桥重建或畸形复发，临床和影像学表现逐渐改善。虽然脂肪通常被用作骨桥切除术后的植入材料，但其使用存在问题，包括缺乏止血和缺乏内在稳定性。骨蜡很容易获得，通常用于医疗应用，以控制出血。它被认为是一种有用的插头，价格低廉，而且没有并发症。
Two patients with a partial growth arrest of the distal tibia were treated by bone bridge resection and bone wax packing technique. Their average age at the time of surgery was 7 years, both had been injured in an accident, and each had been treated with percutaneous pinning and a plaster cast. Unfortunately, partial growth arrest of the distal tibia occurred, and the ankle varus deformity gradually progressed. About 1 year after initial treatment, bone bridge resection and bone wax packing were performed. The average follow-up period was 80 months. There was no reformation of the bone bridge or recurrence of deformity, and gradual improvements in clinical and radiographic findings were observed. Although fat is typically used as an interpositional material after bone bridge resection, there are problems with its use, including a lack of hemostasis and the absence of intrinsic stability. Bone wax is readily available and commonly used in medical applications to control bleeding. It is considered a useful plug, it is inexpensive, and it is not associated with complications.