中国骨伤2017，Vol.30Issue(8)：707-710,4.DOI:10.3969/j.issn.1003-0034.2017.08.005
外侧闭合楔形截骨并交叉穿针皮外张力带固定治疗儿童肘内翻畸形
Lateral closing wedge osteotomy and modified cross pinning with external tension band fixation in the treatment of cubitus varus deformity in children
摘要
Abstract
Objective:To explore the therapeutic effects of distal humeral lateral closing wedge osteotomy followed by modified pinning combined with external tension band fixation in the treatment of cubitus varus deformity in children. Meth-ods:Total 26 adult patients with cubitus varus deformity were treated by operation from March 2011 to June 2015 ,15 patients were boys and the other 11 patients were girls,ranging in age from 4 to 13 years,with an average of 7.8 years. The cubitus varus angel ranged from 11 degrees to 24 degrees,with a mean (17.50±6.73) degrees,3 patients complicated more than 10 degrees constriction of flexion. Lateral closing wedge osteotomy retaining the medial 3 to 4 mm intact cortex by lateral elbow approach was applied in these 26 patients. The wedge defect were closed and fixed by crossing pinning. The lateral column compression was achieved with external tension band (the crossing pins were bended laterally and the pin ends were hooked mutually ). The pre operative,post oparetive and contralateral carrying angles were compared and Laupattarakasem criteria was used to evaluate the results at follow up. Results:All the patients got bony union 2 months after operation and there was no infection or nerve pal-sy. The average follow up period was 18.8 months (ranged,13 to 29 months). The carrying angle was restored to (11.50±3.17) degrees (ranged,8 to 14 degrees). According to the Laupattarakasem evaluation criteria,14 patients got an excellent result,13 good and 1 fair. Conclusion:Normal carrying angle and elbow flexion could be restored by lateral closing wedge osteotomy ,and stable fixation could be achieved with crossing pinning and external tension band ,which is available for early mobilization.关键词
肘关节/畸形发生/截骨术Key words
Elbow joint/Teratogenesis/Osteotomy引用本文复制引用
张川,段小波,张作君,王蕾,昌中孝,杨林平,赵明,李星星,冯瑞萍,王国杰..外侧闭合楔形截骨并交叉穿针皮外张力带固定治疗儿童肘内翻畸形[J].中国骨伤,2017,30(8):707-710,4.基金项目
河南省科技攻关计划项目(编号:152102310164)Programs for Science and Technology Development of Henan Province(No. 152102310164) （编号:152102310164）
