Hypophosphatemic rickets: The role of hemiepiphysiodesis
Hypophosphatemic rickets: The role of hemiepiphysiodesis
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DOI：
10.1097/01.bpo.0000218531.66856.b7
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发表时间：
2006-03-01
影响因子：
1.7
通讯作者：
Stevens, PM
中科院分区：
文献类型：
--
作者：
Novais, E;Stevens, PM
尽管早期医疗干预，儿童低磷贫血佝偻病往往有进行性畸形在下肢。在重力和负重的作用下，原本是生理上的内翻或外翻畸形可能会恶化，导致步态紊乱和疼痛。适当的医疗管理是重要的，理论上可以减缓或防止内翻或外翻的进展，但在纠正畸形方面是无效的。我们回顾了文献并收集了10例患者，其中大多数患者都经历了半表皮发育。我们正在介绍手术的基本原理和结果，以努力定义这种微创手术的作用。
Despite early medical intervention, children with hypophosphatemic rickets often have progressive deformities in the lower extremities. With the forces imparted by gravity and weight bearing, varus or valgus deformities that might otherwise have been physiological are likely to progress, causing gait disturbance and pain. Proper medical management is important and may theoretically slow or prevent the progression of varus or valgus, but is ineffective at correcting deformity once established. We have reviewed the literature and gathered a series of 10 patients, most of whom underwent hemiepiphysiodesis. We are presenting the rationale for, and the results of, that surgery, in an effort to define the role of this minimally invasive procedure.