Xu Ping,Ning Bo,Chen Yufan,et al.Efficiency of temporary hemiepiphysiodesis with eight-plate in children with lower limb discrepancy[J].Journal of Clinical Pediatric Surgery,,19():59-62.[doi:10.3969/j.issn.1671-6353.2020.01.012]
Efficiency of temporary hemiepiphysiodesis with eight-plate in children with lower limb discrepancy
- Keywords:
- Lower Limb Discrepancy; Eight-Plate; Epiphysiodesis; Child
- CLC:
- R726.8;R681.4
- Abstract:
- Objective To explore the efficacy and feasibility of temporary hemiepiphysiodesis with eight-plate for children with lower limb discrepancy (LLD).Methods A retrospective study was conducted for LLD children from November 2011 to January 2017.Radiological assessments were performed by standing full-length X-ray.By analyzing the change of the length of bones after temporary hemiepiphysiodesis with eight-plate,retarding efficiency was calculated according to the growth curve of eight-plate.Results A total of 14 patients (17 physes) were included.The average follow-up period was 29.4(29.4±8.53) months,the average blocking length was 18.8(5-40) mm and the average blocking rate was 59.5% (0.595±0.18).No epiphyseal closure or epiphyseal plate injury occurred.No statistical differences existed in site (proximal tibia or distal femur),age,gender or sideness.Blocking rate was positively correlated with blocking time (r=0.438,P<0.05).Conclusion Temporary epiphyseal blocking of 8-plate in LLD is incomplete and it may be an alternative treatment for LLD children.However,for its limited correction efficacy,growth potential should be fully evaluated.And close postoperative follow-up is also vital for achieving an excellent outcome.
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Memo
收稿日期:2019-02-02。
通讯作者:王达辉,Email:wangdahui@fudan.edu.cn