【摘 要】 目的 探讨骺板再开放、骺软骨植入治疗儿童骺板部分早闭的 手术及评价其疗效。方法 对10例骺板部分早闭造成的肘、膝关 节内、外翻畸形，行单纯髁上楔形截骨6例，在截骨同时采取骺板再开放、 骺软骨植入4例。结果 10例患儿均获得随访，随访时间为6个月～5 年。单纯截骨者，术后畸形复发1例，肢体不等长2例。在截骨同时行骺板再开放、骺软骨植 入者内、外髁高度相等，肢体等长，无复发。结论 采用骺板再开 放、骺软骨植入的方法，可以有效地预防畸形复发，恢复肢体纵向生长能力。

A SURGICAL TREATMENT OF EARLY PARTIAL

    CLOSURE OF THE EPIPHYSIAL PLATE

CHEN Hong-kun,WANG Cheng-bin,YAN Jing-tie,et al

    .Department of Pediatric Surgery, Zaozhuang City Hospital.Zaozhuang Shandong,P.R .China 277101

【Abstract】 Objective To introduce the technique of epiphysiolysis and epiphysis grafting in the tre atment of early partial closure of the epiphysial plate in children, and evaluat e its effect.Methods Retrospective study was performed in 10 cases of cubitus varus and valgus,or genu varum and valgum due to early part ial closure of the epiphysial plate,6 cases received simple cuneiform osteot omy,and 4 cases received epiphysioloysis and epiphysis grafting.Re sults Clinical outcoming after 6-month to 5-year's follow-up show ed 1 case deformity of recurrence and 2 cases of non-isometric limb after simpl e osteotomy, while no recurrence and isometric limb after epiphysiolysis and epi physis grafting.Conclusion Epiphysiolysis and epiphysis grafting may effectively prevent the recurrence of postoperative deformity,and restore the longitudinal growth of limb.

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