先天性胫骨假关节腓骨移植后骺的生长率分析

Observation on Epiphyseal Growth-rate of Children with Consenital Pseudarthrosis of Tibia after Free Revascularized Fibula Grafting

作者用带血管的游离腓骨移植术治疗先天性胫骨假关节9例.随访观察9年以上者2例.本文将移植后的胫骨远近端的骨骺生长率进行了分析.阐述了治疗先天性胫骨假关节的有效方法,介绍治疗后胫骨远近端骨骺的变化及移植腓骨本身的变化.

Two children with congenital pseu-doarthrosis of tibia were treated with free revascularized fibular graft and followed up for 9 years.The X-ray showed that the distal epiphysis of tibia grew faster than the proximal.The reason might be that graft of the tibia with blood vessels increased the blood supply to the distal epiphyseal plate of tibia and promoted its growth.On the other hand,the grafted fibula showed.thicker but not longer due to the absence of epiphyseal cells in the graft.