Treatment approaches for congenital pseudarthrosis of tibia: Results of the EPOS Multicenter Study

被引:102
作者
Grill, F [1 ]
Bollini, G [1 ]
Dungl, P [1 ]
Fixsen, J [1 ]
Hefti, F [1 ]
Ippolito, E [1 ]
Romanus, B [1 ]
Tudisco, C [1 ]
Wientroub, S [1 ]
机构
[1] Orthopaed Hosp Speising, A-1134 Vienna, Austria
来源
JOURNAL OF PEDIATRIC ORTHOPAEDICS-PART B | 2000年 / 9卷 / 02期
关键词
congenital pseudarthrosis of tibia; analysis of treatment; EPOS Multicenter Study;
D O I
10.1097/01202412-200004000-00002
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
This study was designed to analyze the different therapeutic methods used by European Paediatric Orthopaedic Society members from 13 countries for congenital pseudarthrosis of tibia. The treatment data of 340 patients who underwent 1287 procedures for this condition were analyzed. The essential findings were that the method of choice needed to approach the biological problem with the aims of: (1) resecting the pseudarthrosis to provide stability, the basic requirement for bony consolidation; (2) correcting length discrepancy and axial deformity; (3) achieving fusion; and (4) solving the additional problems around the main deformity such as alignment, leg length discrepancy and ankle valgus. The Ilizarov technique emerged as being the optimal method, having the highest rate of fusion (75.5%) of pseudarthrosis and rate of success in correction of the additional deformities. There was also consensus that surgery should be avoided before the third year of life.
引用
收藏
页码:75 / 89
页数:15
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