先天性胫骨假关节出院后随访管理的研究进展

Progress of postoperative follow-ups for congenital pseudarthrosis of the tibia

先天性胫骨假关节曾是儿童骨科领域最难治愈的疾病,表现为胫骨成角畸形、髓腔狭窄或囊肿等,最终形成不愈合的假关节,目前以手术治疗为主。由于该病治疗时间长,患儿术后至骨骼成熟前均有再骨折的风险,严重影响患儿健康与生活质量,因此对患儿进行出院后随访管理很有必要。然而先天性胫骨假关节患儿分散遍布在全国各省市,给出院后随访管理带来了很多不确定性。本文就先天性胫骨假关节随访中存在的问题进行文献回顾,总结目前国内外对先天性胫骨假关节患儿出院后随访管理的特点,为临床医务人员制定科学的出院后随访管理策略提供依据。

Congenital pseudarthrosis of the tibia has been the most troublesome disease to cure in in children.It is manifested as angular deformity of tibia,narrowing of medullary cavity or cyst,etc and eventual formation of nonunion pseudarthrosis.Currently surgery is a major treatment.Due to the long treatment course,most children have a high risk of re-fracture from postoperative to bone maturity.It seriously affects the health and quality-of-life of Children'so that clinicians should closely follow up and manage them after discharge.However,cases of congenital pseudarthrosis of tibia are scattered in provinces and cities all over China and follow-ups become virtually impossible after discharge.This paper reviews the concept and research status of congenital pseudarthrosis of tibia and existing follow-up problems and summarizes the frequency and interval of follow-ups to provide rationales for formulating optimal follow-up management strategies after discharge.