Deng Fengliang,Xie Jianhui,Mei Haibo,et al.Efficacy of “Triple Program” in preventing knee joint flexion contracture in children with congenital pseudarthrosis of the tibia during tibial lengthening[J].Journal of Clinical Pediatric Surgery,2018,17(07):528-532.
“三联方案”预防先天性胫骨假关节胫骨延长儿童膝关节屈曲挛缩的效果评价
- Title:
- Efficacy of “Triple Program” in preventing knee joint flexion contracture in children with congenital pseudarthrosis of the tibia during tibial lengthening
- Keywords:
- Congenital Pseudarthrosis of The Tibia; Tibial Lengthening; Knee Joint; Flexion Contracture
- 文献标志码:
- A
- 摘要:
- 目 的 探 讨 “ 三 联 方 案 ” （ 阶 段 性 功 能 锻 炼 、 佩 戴 胫 骨 延 长 辅 助 支 具 、 延 长 速 度 个 体 化 ） 预防 先 天 性 胫 骨 假 关 节 （ ＣＴＰ） 胫 骨 延 长 治 疗 中 膝 关 节 屈 曲 挛 缩 的 临 床 疗 效 。 方 法 回 顾 性 分 析 ２０１３年 ７ 月 至 ２０１６ 年 １１ 月 间 本 院 收 治 的 ４２ 例 实 施 联 合 手 术 加 胫 骨 延 长 治 疗 的 ＣＴＰ 患 儿 临 床 资 料 并 对 随访 结 果 进 行 分 析 。 结 果 ４２ 例 均 获 得 完 整 随 访 ， 平 均 随 访 ８ 个 月 （ ４ ～１７ 个 月 ） ， 外 固 定 架 平 均 佩 戴时 间 ２２８ ｄ（ １１８ ～４５６ ｄ） ； 平 均 延 长 长 度 ４． ４ ｃｍ， 早 期 愈 合 率 １００％， 平 均 愈 合 指 数 ５２ ｄ／ ｃｍ； 拆 除 外 固 定支 架 时 膝 关 节 功 能 优 ４０ 例 ， 良 ２ 例 ； 无 一 例 发 生 血 管 神 经 损 伤 、 轴 线 移 位 、 关 节 脱 位 、 固 定 针 折 断 、 骨 不愈 合 等 。 结 论 “ 三 联 方 案 ” 预 防 ＣＰＴ 胫 骨 延 长 治 疗 后 膝 关 节 屈 曲 挛 缩 效 果 良 好 ， 值 得 临 床 推 广 。
- Abstract:
- ObjectiveTo explore the efficacy of "triple program" of staged functional exercise,wearing tibial extension auxiliary braces and individualized lengthening for preventing knee joint flexion contracture during tibial lengthening in children with congenital pseudarthrosis of the tibia (CTP).MethodsA retrospective study was performed for 42 CPT patients undergoing surgery plus tibial lengthening from July 2013 to November 2016.ResultsThe average followup period was 8(4-17) months.The average wearing time of external fixator was 228 (118-456) days and the average length of lengthening 4.4 cm.All patients achieved primary union.The average healing index was 52 d/cm.After removing external fixator,the outcomes of knee function were excellent (n=40) and good (n=2).There was no instance of nerve injury,axial displacement,joint dislocation,broken needle or nonunion.ConclusionThe “triple program” is effective in preventing flexion contracture of knee joint in CPT children during tibial lengthening.And wider clinical application is recommended.
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