关节镜下骨桥切除联合半侧骨骺阻滞治疗胫骨远端骨骺早闭所致踝关节畸形1例

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摘要胫骨远端骨骺早闭所致的踝关节畸形是儿童骨折严重的并发症，目前对于其治疗仍存争论。为探讨儿童胫骨远端骨骺早闭所致踝关节畸形的治疗，降低手术技巧难度，开拓操作思路，本文回顾性分析广东省中医院骨科的1例骨骺早闭所致踝关节畸形患儿的临床资料。通过分析患儿年龄、症状、骨桥类型，复习相关文献，探讨治疗方案，并为关节镜下中央型骨桥的切除提供临床诊疗经验。本例患儿畸形的成因主要是骨桥形成。自Langenski?觟ld第1次应用骨桥切除术以来，该技术就以对操作技巧要求高著称，尤其是中央型骨桥，以往的C臂机、导航系统引导都存在不足。采用关节镜监视引导，可为骨桥切除准确性、畸形矫正更好地提供保障。

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	黄顺颖1 黄江发2 管建豪1 林锦浩1 许忆浪1 刘岩2

关键词 ：胫骨远端骨骺早闭, 踝关节畸形, 关节镜, 骨桥切除, 骨骺阻滞

Abstract：Ankle deformity caused by premature closure of distal tibial epiphysis is a severe complication of fracture in children, and its treatment is still controversial currently. In order to explore the treatment of ankle deformity caused by premature closure of distal tibial epiphysis in children, reduce the difficulty of surgical skills and explore operational ideas, this paper retrospectively analyzes clinical data of a child with ankle deformity caused by premature closure of distal tibial epiphysis in Department of Orthopedics of Guangdong Provincial Hospital of Chinese Medicine. By analyzing the age, symptoms, and bone bridge types of children, reviewing relevant literature, discussing treatment scheme, and providing clinical diagnosis and treatment experience for arthroscopic resection of central bone bridge. The main cause of the deformity in this case is the formation of bone bridge. Since Langenski?觟ld applied bone bridge resection for the first time, this technology is famous for its high requirements for operation skills, especially the central bone bridge. There are deficiencies in the previous C-arm machine and navigation system guidance. Arthroscopic monitoring and guidance can provide better guarantee for the accuracy of bone bridge resection and deformity correction.

Key words： Premature closure of distal tibial epiphysis Ankle deformity Arthroscopy Bone bridge resection Epiphyseal block

基金资助:广东省医学科学技术研究基金项目（B20201 67）。

通讯作者: 刘岩（1970.3-），男，副主任医师；研究方向：中医骨伤科学。

作者简介: 黄顺颖（1995.12-），女，广州中医药大学2019级中医骨伤科学专业在读硕士研究生；研究方向：中医骨伤科学。

引用本文:

黄顺颖1 黄江发2 管建豪1 林锦浩1 许忆浪1 刘岩2. 关节镜下骨桥切除联合半侧骨骺阻滞治疗胫骨远端骨骺早闭所致踝关节畸形1例[J]. 中国医药导报, 2022, 19(20): 181-184,193.
HUANG Shunying1 HUANG Jiangfa2 GUAN Jianhao1 LIN Jinhao1 XU Yilang1 LIU Yan2. A case report on arthroscopic bone bridge resection combined with hemi-epiphyseal block in the treatment of ankle deformity caused by premature closure of distal tibial epiphysis. 中国医药导报, 2022, 19(20): 181-184,193.

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https://www.yiyaodaobao.com.cn/CN/ 或 https://www.yiyaodaobao.com.cn/CN/Y2022/V19/I20/181

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