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尺骨延长联合瘤体切除治疗儿童遗传性多发性骨软骨瘤尺骨短缩畸形近期效果观察

郭永成 邢光卫 董延召 夏冰 景小博 牛学强

临床误诊误治Issue(7):98-101,4.
临床误诊误治Issue(7):98-101,4.DOI:10.3969/j.issn.1002-3429.2015.07.034

尺骨延长联合瘤体切除治疗儿童遗传性多发性骨软骨瘤尺骨短缩畸形近期效果观察

Short-term Clinical Observation of Gradual Ulnar Lengthening Combined with Excision of Exostoses to in Treatment of Pediatric Ulnar Shortening Deformity

郭永成 1邢光卫 1董延召 1夏冰 1景小博 2牛学强1

作者信息

  • 1. 450052 郑州,郑州大学第三附属医院骨科
  • 2. 450052 郑州,郑州市骨科医院小儿骨科
  • 折叠

摘要

Abstract

Objective To explore the effect of gradual ulnar lengthening combined with excision of exostoses to treat ulnar shortening deformity in children with hereditary multiple exostoses (HME). Methods 7 children with multiple exosto-ses shortening of the ulnar deformity, admitted to our hospital during June 2011 and August 2014 underwent gradual ulnar lengthening combined with excision of exostoses. The average of ulnar shortening was 2. 6 cm. According to the type of stand-ard clinical HME of the forearm, 4 cases were type ⅡA and 3 cases were type I1b. The technology of Orthofix external fixa-tion combined with excision of exostoses was used. According to the plan, the postoperative limb was extended with appropri-ate functional exercises. Results The mean follow-up time was 22 months. 7 cases in middle piece of ulnar extended 2. 5 ~4. 0 cm (average 3. 2 cm), and all the patients were healed. Wrist ulnar deviation was corrected, forearm rotation function was restored, wrist and elbow joint function was improved. All the patients had no peri operational period and long-term com-plications. Conclusion Short-term clinical effect of the application of Orthofix external fixation combined with excision of ex-ostoses in the treatment of ulnar shortening deformity in children with HME is obvious with smaller invasion and fewer compli-cations.

关键词

外生骨疣,多发性遗传性/外固定器/上肢畸形/儿童

Key words

Exocytose, multiple hereditary/External fixator/Upper extremity deformity/Child

分类

医药卫生

引用本文复制引用

郭永成,邢光卫,董延召,夏冰,景小博,牛学强..尺骨延长联合瘤体切除治疗儿童遗传性多发性骨软骨瘤尺骨短缩畸形近期效果观察[J].临床误诊误治,2015,(7):98-101,4.

基金项目

郑州市科技计划项目(131PPTGG409-25) (131PPTGG409-25)

临床误诊误治

OACSTPCD

1002-3429

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