CAJ | 학술논문

目的介绍一种矫治儿童膝内/外翻畸形的新术式.方法 2000年10月至2006年10月设计应用栅状截骨手法矫形石膏固定术治疗儿童膝内/外翻53例,于骨的成角旋转中心(CORA)将骨膜切开剥离后,用Stryker电动摆动骨锯将骨骼在额状面沿纵轴前后方向剖成间隔约2 mm、长约2.5～3.0 cm的栅状骨片.截骨与骺板线的距离应保持1 cm以上,可同时将内/外侧骨皮质作斜形截断,但中央2～3根骨片不得切断.然后手法初步矫形,有挚石膏托固定.2周后再次在氯胺酮麻醉下手法彻底矫形,有垫管形石膏同定至截骨愈合.结果 53例患儿全部恢复顺利,没有发生早/晚期并发症者.随诊复查矫正效果满意,步态改善.结论栅状截骨手法矫形石膏固定术是一种简单有效的矫治儿童膝内/外翻畸形新方法.
목적 개소일충교치인동슬내/외번기형적신술식.방법 2000년10월지2006년10월설계응용책상절골수법교형석고고정술치료인동슬내/외번53례,우골적성각선전중심(CORA)장골막절개박리후,용Stryker전동파동골거장골격재액상면연종축전후방향부성간격약2 mm、장약2.5～3.0 cm적책상골편.절골여후판선적거리응보지1 cm이상,가동시장내/외측골피질작사형절단,단중앙2～3근골편불득절단.연후수법초보교형,유지석고탁고정.2주후재차재록알동마취하수법철저교형,유점관형석고동정지절골유합.결과 53례환인전부회복순리,몰유발생조/만기병발증자.수진복사교정효과만의,보태개선.결론 책상절골수법교형석고고정술시일충간단유효적교치인동슬내/외번기형신방법.
Objective To introduce a new and effective operation for correcting knock-knee or bowlegs in children.Methods Following local incision and periosteum peeling of the affected bone segment at the center of rotation of angulation(CORA),the bone was longitudinally and entirely cut into parallel series with the length of 2.5 to 3.0 cm and intermission of 2 mm by stryker saw.The distal end of each cut was at least 1 cm proximal to the epiphyseal plate.The lateral and medial aspects of the bone segment were obliquely cut inward to the base of the railing,with 2 or 3 residual central bone slices intact at the distal endings subsequently.The deformity was then preliminarily corrected by manual adiustment and maintained in position by plaster fixation.Two weeks after the operation,the residual deformity would be secondarily corrected thoroughly by plaster cast with cushion until knitting under the basal anaesthesia of ketomine.Results All patients recovered uneventfully with normal shape and gait during follow-up,without any early or late complications.Conclusions Railing-like osteotomy with manual adjustment is effective and safe for correcting knock-knee or bowlegs in children.