EPIPHYSEOLYSIS FOR PARTIAL GROWTH PLATE ARREST - RESULTS AFTER 4 YEARS OR AT MATURITY

EPIPHYSEOLYSIS FOR PARTIAL GROWTH PLATE ARREST - RESULTS AFTER 4 YEARS OR AT MATURITY
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DOI:
10.1302/0301-620x.71b1.2914983
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发表时间:
1989-01-01
影响因子:
--
通讯作者:
MENELAUS, MB
MENELAUS, MB
中科院分区:
其他
文献类型:
--
作者:
BROUGHTON, NS;DICKENS, DRV;MENELAUS, MB

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我们回顾了13名儿童部分生长板停止谁已被治疗的骺松解。其中8人被随访至骨骼成熟,5人被随访至少4年。3例患肢恢复正常,5例手术成功,改善了成角畸形和下肢不等长,无需进一步手术。在5例失败中,成角畸形进展或肢体长度差异增加。没有明显的并发症,手术没有阻止随后的截骨术或肢体长度均衡。骨骺松解术对小骨棒和仅影响接骨板中心区域的骨棒最有效。
We reviewed 13 children with partial growth plate arrest who had been treated by epiphyseolysis. Eight were followed to skeletal maturity and five for at least four years. In three cases the affected limb was restored to normal and in five the operation was successful in improving angular deformity and leg length discrepancy such that further surgery was not necessary. In the five failures, angular deformity had progressed or limb length discrepancy had increased. There were no significant complications and the procedure did not prevent subsequent osteotomy or limb length equalisation. Epiphyseolysis was most effective for small bars and those affecting only the central area of the plate.