CAJ | 학술논문

目的探讨外固定架在治疗遗传性多发性骨软骨瘤尺骨短缩畸形的效果.方法回顾我院2008年11月-2012年2月6例遗传性多发性骨软骨瘤尺骨短缩畸形患者,应用Orthofix外固定架延长尺骨,其中男性4例,女性2例,年龄9~13岁(平均9.1岁),分析其疗效.结果患者尺骨近端延长25~35 mm,平均30 mm,均达到骨性愈合,未见延迟愈合.腕关节尺偏畸形得到部分纠正,下尺桡关节复位,前臂旋转功能明显恢复,腕关节及肘关节活动功能明显改善.1例出现远端针孔感染,给予局部消毒后好转,未见固定架松动.结论外固定架治疗遗传性多发性骨软骨瘤尺骨短缩畸形的临床效果满意.
목적탐토외고정가재치료유전성다발성골연골류척골단축기형적효과.방법회고아원2008년11월-2012년2월6례유전성다발성골연골류척골단축기형환자,응용Orthofix외고정가연장척골,기중남성4례,녀성2례,년령9~13세(평균9.1세),분석기료효.결과환자척골근단연장25~35 mm,평균30 mm,균체도골성유합,미견연지유합.완관절척편기형득도부분규정,하척뇨관절복위,전비선전공능명현회복,완관절급주관절활동공능명현개선.1례출현원단침공감염,급여국부소독후호전,미견고정가송동.결론외고정가치료유전성다발성골연골류척골단축기형적림상효과만의.
Objective To study the effect of external fixation on ulna shortening deformity due to multiple cartilaginous exostosis. Methods Clinical data about six 9-13 years (mean 9.1 years) old patients (4 males and 2 females) with ulna shortening deformity due to multiple cartilaginous exostosis who underwent Orthofix external fixation in our hospital from November 2008 to February 2012 were retrospectively analyzed. Results The distal ulna increased 25-35 mm (mean 30 mm) with a good bony union. No delayed bony union occurred. The ulnar deviation malformation was corrected, the distal radioulnar joint dislocation was repositioned, the rotation function of forearm was significantly recovered, and the function of wrist and elbow joint was significantly improved. Distal needle hole infection occurred in 1 patient, which was cured after local sterilization. No fixation screw loosening was found. Conclusion External fixation can achieve good clinical outcomes in ulna shortening deformity due to multiple cartilaginous exostosis.