CAJ | 학술논문

目的：探讨加压固定-潜行截骨延长治疗先天性胫骨假关节的疗效。方法：采用加压固定-潜行截骨延长治疗11例先天性胫骨假关节患者。通过彻底切除假关节及周围病变，安装球面万向骨折复位外固定器进行矫正加压并行胫骨近端“针锯”潜行截骨延长。结果：通过随访，11例假关节均获得骨性愈合，2例残留轻度足外翻畸形。结论：加压固定-潜行截骨延长治疗先天性胫骨假关节是一种行之有效的方法。
목적：탐토가압고정-잠행절골연장치료선천성경골가관절적료효。방법：채용가압고정-잠행절골연장치료11례선천성경골가관절환자。통과철저절제가관절급주위병변，안장구면만향골절복위외고정기진행교정가압병행경골근단“침거”잠행절골연장。결과：통과수방，11례가관절균획득골성유합，2례잔류경도족외번기형。결론：가압고정-잠행절골연장치료선천성경골가관절시일충행지유효적방법。
Ojective:Investigate the efficacy of treatment of congenital pseudarthrosis of tibia with external skeletal compression fixa -tion and simultaneous closed osteotomy lengthening .Methods:11 cases of congenital pseudarthrosis were treated by external skeletal com-pression fixation and simultaneous closed osteotomy lengthening .after resecting of the pseudarthrosis and the surrounding pathological changes,two ends of pseudarthrosis were corrected and compressed by performing “multiple-plane and double-track elongation instru-ment”,and then the tibia of the proximal were extended by “needle saw”.Results:By following-up, bone union were achieved in all 11 pseudarthrosises ,slight valgus deformity of ankle were residued in two patients .Conclusion:It is a practical and safe surgical manner to treat congenital pseudarthrosis of tibia with external skeletal compression fixation and simultaneous closed osteotomy lengthening .