截骨远端内移联合改良French截骨治疗儿童肘内翻畸形的临床研究

doi:10.3969/j.issn.10073205.2018.04.009

河北医科大学学报

截骨远端内移联合改良French截骨治疗儿童肘内翻畸形的临床研究

1.广东医科大学附属东莞市厚街医院骨科，广东东莞 523000；2.广东省东莞市大朗医院骨科，
广东东莞 523000；3.湖南省武冈市人民医院骨科，湖南武冈 422400

出版日期:2018-04-25 发布日期:2018-04-23
作者简介:吴任涛(1981-)，男，广东饶平人，广东医科大学附属东莞市厚街医院主治医师，医学硕士，从事骨外科疾病诊治研究。
基金资助:
东莞市社会科技发展一般项目（201650715001153）

Clinical study of osteotomy and distal internal displacement combined with modified French osteotomy for cubitus varus in children#br#

1.Department of Orthopaedics， Affiliated Dongguan Houjie Hospital of Guangdong Medical University，
Dongguan 523000， China； 2.Department of Orthopaedics， Dalang Hospital of Dongguan， Guangdong
Province， Dongguan 523000， China； 3.Department of Orthopaedics， the People′s
Hospital of Wugang, Hunan Province， Wugang 422400， China

Online:2018-04-25 Published:2018-04-23

摘要/Abstract

摘要： ［摘要］〓
〖HTH〗目的〖HTSS〗〖KG*2〗观察截骨远端内移联合改良French截骨治疗肘内翻畸形患儿的临床效果。
〖HTH〗方法〖HTSS〗〖KG*2〗回顾性分析肘内翻畸形患儿70例，分为研究组和对照组，2组均实施外侧闭合楔形截骨治疗方案，对照组采取皮质内侧行部分连续接骨的方法，研究组去除内侧骨皮质，使远端的骨块向内侧移动，并借助克氏针予以固定。截骨术后的4周、6周，借助X线影像法评估骨折断端愈合状况，从而决定是否拆除石膏并取出骨折部位的内固定物；再借助Bellemore方法评估手术效果。
〖HTH〗结果〖HTSS〗〖KG*2〗研究组石膏固定时间、骨折愈合去除内固定时间长于对照组（P＜005）；手术后2组患侧提携角（humerus elbowwrist angle,HEWA）和肘外侧突起指数（lateral process index of elbow，LCPI）大于手术前，关节活动度小于手术前（P＜005）；2组健侧HEWA，手术前后患侧HEWA、LCPI和关节活动度异无统计学意义（P＞005）。研究组临床疗效优于对照组，优良率高于对照组（P＜005）。2组患儿并发症发生率差异无统计学意义（P＞005）。
〖HTH〗结论〖HTSS〗〖KG*2〗肘内翻畸形患儿采取截骨远端内移联合改良French截骨方案治疗，无明显不良事件发生，且能规避术后可能出现的塑形不佳，是治疗此类畸形较为理想的治疗手段。

关键词: 肘内翻, 截骨术, 儿童

Abstract: ［Abstract］〓Objective〖HTSS〗〓To investigate the clinical effect of distal osteotomy with French osteotomy in the treatment of cubitus varus deformity.
〖HTH〗〖WTHZ〗Methods〖HTSS〗〓Retrospective analysis of 70 cases of cubitus varus deformity in children was performed. The cases were set as two groups. The two groups were treated with lateral closing wedge osteotomy treatment, the control group took part in medial cortical bone continuous method, while the study group is the removal of the medial cortical bone blocks, distal to the medial movement, and with Kirschner wire to be fixed. At the fourth, sixth week after osteotomy, the fracture healing of fracture was evaluated by Xray imaging, in order to decide whether to dismantle plaster and remove the internal fixator of the fracture site. Bellemore method was used to evaluate the effect of surgery.
〖HTH〗〖WTHZ〗Results〖HTSS〗〓The fixed time of plaster in the study group and the fixation time for the removal of fracture healing were longer than that of the control group(P＜005). After the surgery, postoperative ipsilateral carrying angle(humerus elbowwrist angle,HEWA) and lateral elbow protrusion(lateral process index of elbow index, LCPI) of 2 groups were larger than that before the surgery, joint activity was less than that before surgery(P＜005). For healthy side HEWA of 2 groups, there were not statistically significant in HEWA, LCPI and joint activity before and after the operation(P＞005). The clinical effect of the study group was better than that of the control group, and the good rate was higher than that of the control group(P＜005). There was no significant difference in the incidence of complications in the 2 groups(P＞005).
〖HTH〗〖WTHZ〗Conclusion〖HTSS〗〓The treatment of cubitus varus deformity in children with distal osteotomy and modified French osteotomy is an ideal treatment for this kind of malformation, and there is no obvious adverse event and can avoid the bad shape that may occur after the operation.

Key words: cubitus varus, osteotomy； child

吴任涛1，陈隆福1，黄潮桐2，刘晓雷1，刘平胜3. 截骨远端内移联合改良French截骨治疗儿童肘内翻畸形的临床研究[J]. 河北医科大学学报, doi: 10.3969/j.issn.10073205.2018.04.009.

WU Rentao1， CHEN Longfu1， HUANG Chaotong2， LIU Xiaolei1， LIU Pingsheng3. Clinical study of osteotomy and distal internal displacement combined with modified French osteotomy for cubitus varus in children#br#[J]. Journal of Hebei Medical University, doi: 10.3969/j.issn.10073205.2018.04.009.

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截骨远端内移联合改良French截骨治疗儿童肘内翻畸形的临床研究

Clinical study of osteotomy and distal internal displacement combined with modified French osteotomy for cubitus varus in children#br#

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