骺板部分早闭的修复

A SURGICAL TREATMENT OF EARLY PARTIAL CLOSURE OF THE EPIPHYSIAL PLATE

目的探讨骺板再开放、骺软骨植入治疗儿童骺板部分早闭的手术及评价其疗效。方法对１０例骺板部分早闭造成的肘、膝关节内、外翻畸形，行单纯髁上楔形截骨６例，在截骨同时采取骺板再开放、骺软骨植入４例。结果１０例患儿均获得随访，随访时间为６个月～５年。单纯截骨者，术后畸形复发１例，肢体不等长２例。在截骨同时行骺板再开放、骺软骨植入者内、外髁高度相等，肢体等长，无复发。结论采用骺板再开放、骺软骨植入的方法，可以有效地预防畸形复发，恢复肢体纵向生长能力。

Objective To introduce the technique of epiphysiolysis and epiphysis grafting in the treatment of early partial closure of the epiphysial plate in children, and evaluate its effect.Methods Retrospective study was performed in 10 cases of cubitus varus and valgus,or genu varum and valgum due to early partial closure of the epiphysial plate,6 cases received simple cuneiform osteotomy,and 4 cases received epiphysioloysis and epiphysis grafting.Results Clinical outcoming after 6 month to 5 year's follow up showed 1 case deformity of recurrence and 2 cases of non isometric limb after simple osteotomy, while no recurrence and isometric limb after epiphysiolysis and epiphysis grafting.Conclusion Epiphysiolysis and epiphysis grafting may effectively prevent the recurrence of postoperative deformity,and restore the longitudinal growth of limb.