ANGULAR DEFORMITY OF THE LOWER-EXTREMITY IN CHILDREN WITH RENAL OSTEODYSTROPHY

被引：10

作者：

DAVIDS, JR

FISHER, R

LUM, G

VONGLINSKI, S

机构：

[1] Departments of Orthopaedics, University of Colorado, Health Science Center, Denver, CO

[2] Department of Pediatrics, University of Colorado, Health Science Center, Denver, CO

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1992年 / 12卷 / 03期

关键词：

GENU-VALGUM; OSTEOTOMY; RENAL OSTEODYSTROPHY;

D O I：

10.1097/01241398-199205000-00004

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：

We have treated 15 children with end-stage renal disease (ESRD), renal osteodystrophy, and genu valgum in the last 22 years. In a retrospective review, we determined that periods of metabolic instability, best characterized as an alkaline phosphatase of 500 U for at least 10 months, were associated with progression of deformity. Histomorphometric bone biopsy provided information that proved essential for effective evaluation and treatment in this group. Complications of corrective osteotomy were related to perioperative metabolic instability. A surgical treatment protocol is described, emphasizing preoperative assessment by histomorphometric bone biopsy and multimodal medical management to maintain metabolic stability perioperatively.

引用

页码：291 / 299

页数：9

共 23 条

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