临床小儿外科杂志2011，Vol.10Issue(6)：424-426,3.DOI:10.3969/j.issn.1671-6353.2011.06.008
肱骨远端倒“V”形截骨治疗儿童肘内翻的疗效评价
Distal humerus inverted "V"-shaped osteotomy for children's cubitus varus deformity
唐进 1赫荣国 1梅海波 1刘昆 1伍江雁 1叶卫华 1胡欣 1谭谦 1朱光辉 1董林1
作者信息
- 1. 湖南省儿童医院骨科,湖南省长沙市,410007
- 折叠
摘要
Abstract
Objective This paper is to introduce the surgical techniques for the distal humerus inverted "V"-shaped osteotomy for cubitus varus deformity in children, and to evaluate its preliminary efficacy. Methods The surgical procedures employ the distal humerus inverted "V"-shaped osteotomy to treat children ' s cubitus varus deformity. Its first-stage surgery achieved a satisfactory correction location through intersecting kirschner fixation and plaster fixation in elbow flexion 60 °for six weeks. An active elbow joint functional exercise was carried out after the demolition of plaster and the pullout of kirschner 6 weeks later. The surgery evaluates the therapeutic results, through clinical appearance, joint function, and X-ray measurement for the carrying angles. Results All of 10 cases were casually visited and the patients were followed after osteotomy for an average time of 1.8 years (1 ~2.5 years). None of the complications were happened like wound infection, neurovascular injury, orthopedic loss, nonunion and so on. The results demonstrate that the reunion of osteotomy is in the average of 10 weeks and the recovery of morphological appearance and function of the limbs are satisfactory. The results of the clinical evaluation and X-ray evaluation are excellent. Conclusion It can be concluded that the surgical procedures in the distal humerus inverted "V"-shaped osteotomy for children' s cubitus varus deformity is relatively simple, reliable in orthopaedic, and effective for the recovery of mechanical axis near the elbow joints. The sugery is a good choice for the treatment of children' s cubitus varus deformity, and therefore can be widely applied.关键词
肘内翻/关节/机械轴线/截骨术/倒V形截骨/骨科手术方法Key words
Cubitus varus/Joint / mechanical axis/Osteotomy / inverted V-shaped osteotomy/Orthopedic surgical procedures引用本文复制引用
唐进,赫荣国,梅海波,刘昆,伍江雁,叶卫华,胡欣,谭谦,朱光辉,董林..肱骨远端倒“V”形截骨治疗儿童肘内翻的疗效评价[J].临床小儿外科杂志,2011,10(6):424-426,3.
