Tan Qian,Liu Yaoxi,Yi Yinzhi,et al.Treatment of congenital pseudarthrosis of the tibia with proximal tibial epiphyseal plate extension and subphyseal plate extension[J].Journal of Clinical Pediatric Surgery,,22():1055-1059.[doi:10.3760/cma.j.cn101785-202303055-010]
Treatment of congenital pseudarthrosis of the tibia with proximal tibial epiphyseal plate extension and subphyseal plate extension
- Keywords:
- Tibia; Bone Lengthening; Growth Plate; Surgical Procedures; Operative; Child
- Abstract:
- Objective To evaluate the healing status and complications of proximal tibial epiphyseal plate lengthening using Ilizarov external fixation device in children with congenital pseudarthrosis of the tibia (CPT).Methods Retrospective analysis was conducted for clinical data of 61 CPT children undergoing tibial lengthening surgery using Ilizarov external fixation device from February 2012 to June 2020.According to surgical method,they were assigned into two groups of A and B.Radiographic examination results of the first month after extension were utilized for evaluating the quality of bone callus by the Li classification scheme.Follow-ups were conducted for the quality of bone callus in extended segment and postoperative complications.Results No statistically significant inter-group difference (P>0.05) existed in operative age[(87.0±5.9) vs.(115.2±15.2) month],length of extension[(5.3±0.2) vs.(7.0±1.6) cm]or healing index[(57.3±3.6) vs.(50.4±7.4) d/cm].There was no statistically significant inter-group difference (P>0.05) in rate of good callus quality (37/54 vs.7/7).No statistically significant inter-group difference (P=0.088) existed in the incidence of complications or needle infection (4/54 vs.1/7).No statistically significant differences existed (P>0.05) in deviation of tibial mechanical axis (4/54 vs.1/7),early healing of fibula (3/54 vs.0/7),ankle Joint stiffness (2/54 vs.1/7) or reduction of knee range of motion (7/54 vs.1/7).Conclusions Both proximal tibial epiphyseal plate elongation and proximal tibial epiphyseal plate elongation are efficacious for CPT.And early fibular healing may occur in the extension of proximal tibial epiphyseal plate.
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Memo
收稿日期:2023-3-25。
基金项目:湖南省卫生健康委一般指导课题(D202304078395); 湖南省自然科学基金青年基金(2021JJ40271); 国家临床重点专科建设项目-湖南省儿童医院儿外科(湘卫医发[2022]2号); 湖南省科卫联合基金(2022JJ70007); 湖南省科卫联合基金(2021JJ70081); 湖南省临床医疗技术创新引导项目(2021SK50526); 儿童骨科学湖南省重点实验室
通讯作者:梅海波,Email:meihaiboprofe@outlook.c