Percutaneous epiphysiodesis using transphyseal screws (PETS)
Percutaneous epiphysiodesis using transphyseal screws (PETS)
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DOI：
10.1097/00004694-199805000-00018
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发表时间：
1998-05-01
影响因子：
1.7
通讯作者：
Pasquier, P
中科院分区：
文献类型：
--
作者：
Métaizeau, JP;Wong-Chung, J;Pasquier, P
我们描述了一种新的经皮骨骺固定技术，使用经骺螺钉（PETS）和我们的经验，它在32例肢体不等长和9个膝关节成角畸形。18例骨折后肢体过度生长的患者组成了一个临床模型，用于研究PETS的真实的疗效。该方法具有操作简单、手术时间短、术后恢复快、并发症少、可逆转等优点。骨长度不等从骨骺固定术平均2.47 cm（范围1.5-4.6）下降到骨骼成熟时的0.51 cm。胫股角从术前的平均7.66度降低到成熟时的0.86度。螺钉在插入后6个月内开始发挥显著的生长抑制作用，分别使股骨远端和胫骨上段生长减慢68%和56%。在接下来的12个月里，他们实现了最大限度的生长迟缓，股骨远端生长骨骺板减慢了89%，胫骨近端生长骨骺板减慢了95%。在骨骼成熟时，股骨总生长为正常侧的45%，胫骨总生长为正常侧的52%。
We describe a new technique of percutaneous epiphysiodesis using transphyseal screws (PETS) and our experience with it in 32 cases of limb-length inequality and nine angular knee deformities. A subgroup of 18 patients with postfracture limb overgrowth formed a clinical model for study of the real efficacy of PETS. It proved a reliable method with few complications and many advantages such as simplicity of technique, short operating time, rapid postoperative rehabilitation, and reversibility. Bone-length inequality decreased from a preepiphysiodesis average of 2.47 cm (range, 1.5-4.6) to 0.51 cm at skeletal maturity. The tibiofemoral angle reduced from a preoperative average of 7.66 degrees to 0.86 degrees at maturity. The screws began to exert significant growth inhibition within 6 months of insertion, slowing down the distal femoral and upper tibial physes by 68 and 56%, respectively. They achieved maximum growth retardation over the ensuing 12 months, slowing down the distal femoral physis by 89% and the proximal tibial physis by 95%. At skeletal maturity, total femoral growth was 45% and total tibial growth was 52% that of the normal side.