骨痂延长术治疗婴幼儿期化脓性髋关节炎后遗短肢畸形

Callus Lengthening for Phocomelia after Septic Arthritis of the Hip at Infancy

目的 评价骨痂延长术治疗婴幼儿期化脓性髋关节炎后严重短肢畸形的疗效。 方法采用长骨髓内延长器对 2 4例婴幼儿期化脓性髋关节炎后遗肢体短缩畸形行股骨骨痂延长术 ,术前患肢平均短缩 8.4( 6～ 12 .5 )cm。 结果 随访 3～ 5年 ,2 4例患者短肢畸形全部纠正 ,股骨延长 6.2～ 12 .5cm ,平均 0 .6mm/d。 2 0例跛行消失 ,4例跛行明显减轻。

Objective To introduce and evaluate the callus lengthening technique in the treatment of phocomelia after septic arthritis of the hip at infancy. Methods 24 cases underwent femoral callus lengthening and were followed-up for 3～5 years. Result Discrepancies of the phocomelia were corrected in all cases. Cripple disappeared in 20 cases and was greatly improved in 4 cases. Conclusion Callus lengthening is a good technique for phocomelia left at infancy.