FAN Jing yi,SUN Lin,ZHANG Xue jun,et al.Correction of length discrepancies & angular deformeties of the limbs in children by 8plate: A series of 44 cases[J].Journal of Clinical Pediatric Surgery,,12():171-174.[doi:10.3969/j.issn.1671—6353.2013.03.002]
Correction of length discrepancies & angular deformeties of the limbs in children by 8plate: A series of 44 cases
- Abstract:
- Objetive To discuss the effectiveness and complications of 8plate in dealing with the correction of length discrepancies & angular deformeties of the limbs in children according to the clinical data and regular followup.MethodsWe treated 44children with length discrepancies & angular deformeties of the limbs(61 limbs) by 8plate during 2009/5~2012/10.Regular followup was enrolled after the operation.ResultsWe found that After 5~36 months’ followup， the FemurTibia angular(FTA) of the 50 knees with angular deformity(Sagittal plane， Coronal Plane) decreased 9.1°， the angle of the curved tibia(1 limb) decreased 8°，the lateral distal tibial angle(LDTA) ［1］of the ankle valgus decreased 11°， the length difference of lower limbs decreased 0.5 cm. Of all the 44 cases， 13 cases had finished the treatment and removed the plates， one child’s plate had been changed because of the loosening of the screw， another had been changed because of being broken， the third one had been removed because of the deformation of the Epiphyseal plate. Epiphyseal closure， infection and recurrence of the malformation were not found in all cases.ConclusionThe 8plate temporary epiphyrsiodesis technique， which is simple， cheap， well tolerated and with less complications can correct the angular deformities and the length discrepancies of the limbs effectively. More attention should be paid to the indications， operation standards， regular followup， disease prevention and the complications.
References:
1Stevens PM.Kennedy JM， Hung M. Guided growth for ankle valgus［J］. J Pediatr Orthop，2011，31(8): 878—883.
2Stevens.PM.Guided growth: 1933 to the present［J］. Strat Traum Limb Recon，2006，1:29—35.
3Stevens PM，Maguire，Dales MD，et al．Physeal staping for idopathic genu valgum［J］．J Pediair Orthop，1999，19(5)：645—649．
4Stevens PM， Klatt JB. Guided growth for pathological physes: radiographic improvement during realignment［J］. J Pediatr Orthop，2008，28(6):632—639.
5Stevens PM， MacWilliams B， Mohr RA. Gait analysis of stapling for genu valgum［J］. J Pediatr Orthop，2004，24(1):70—74.6Bruce WD， Stevens PM. Surgical correction of miserable malalignment syndrome［J］. J Pediatr Orthop，2004，24(4):392—396.
7梅海波，8字钢板半骺板阻滞术治疗儿童下肢成角畸形［J］.临床小儿外科杂志，2009，09(4):314—315.
8孙琳，孙保胜.8字钢板技术矫治小儿下肢成角畸形和肢体过度生长［J］. 武警医学，2012；23（6）：461—464.
9Peter Raab， Alexander Wild， Konrad Seller， et al.Correction of length discrepancies and angular deformeties of the leg by Blount’s epiphyseal stapling［J］. Eur J Pedeatr，2001，160:668—674.
10孙琳，孙保胜，张学军，等，U型钉方法矫正儿童下肢不等长和成角畸形［J］. 中国骨与关节外科杂志， 2010，3（5）：370—373.
11杜晓杰，Stevens PM，王萃芳，等，8字钢板法治疗儿童下肢成角畸形［J］.中国矫形外科杂志，2006，14(8):1140—1142.
12Peter M. Stevens， Guided Growth for Angular Correction，A Preliminary Series Using a Tension Band Plate［J］. J Pediatr Orthop，2007;27:253—259.
13Joshua Klatt， Stevens PM.Guided Growth for Fixed Knee Flexion Deformity［J］. J Pediatr Orthop，2008，28:626—631.