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介绍骨桥切除的手术方法及3例术后随访结果。2例骺板骨桥位于股骨远端,另1例位于胫骨远端,均为中心型骨桥,并以肢体短缩为主要畸形。手术采取Peterson所描述的方法,在电视X线透视下,通过干骺端应用微型电动骨钻作一骨隧道,逐渐磨除骺板骨桥,然后用自体脂肪填塞,以防止新骨形成。术后平均随访18.6个月,X线片显示骺板仍保持开放,成角畸形也获得明显矫正,受累侧骺板继续生长。其中1例左股骨远端骺板骨桥,术后20个月又增长1.8cm。结果表明,骨桥切除是治疗骺板部分闭合的有效方法,适用于骨桥面积小于受累骺板的50%,其年龄距生理性能板闭合尚有2~3年的儿童。
Introduce the operation method of bone bridge resection and 3 cases follow-up results. Two cases of epiphyseal plate bridge located in the distal femur, and the other one located in the distal tibia, are central type of bridge, and limb shortening as the main deformity. Surgery to take the method described by Peterson in the television X-ray fluoroscopy, through the metaphyseal application of micro-electric bone drilling a bone tunnel, and gradually ablate the epiphyseal bone bridge, and then filled with autologous fat to prevent the formation of new bone. After a mean follow-up of 18.6 months, the X-ray showed that the epiphyseal plate remained open and the angular deformity was also corrected. The involved epiphyseal plate continued to grow. One case of left distal femur epiphyseal bone bridge, 20 months after surgery and an increase of 1.8cm. The results show that the removal of the bone bridge is an effective method for the partial closure of the epiphyseal plate and is suitable for the bone bridge area less than 50% of the affected epiphyseal plate, and the age of the child is still 2 to 3 years from the closure of the physiologic plate.