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題名 | One-Bone Forearm Procedure for Recalcitrant Forearm Deformity in Hereditary Multiple Exostoses=使用單骨前臂手術方法治療因遺傳性多發骨軟骨瘤所引起之頑固性前臂變形 |
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作者 | 王德源; 彭志濤; | 書刊名 | 中國醫藥學院雜誌 |
卷期 | 8:2 1999.06[民88.06] |
頁次 | 頁53-59 |
分類號 | 416.66 |
關鍵詞 | 單骨前臂術; 遺傳性多發骨軟骨瘤; One-bone forearm; Hereditary multiple exostoses; |
語文 | 英文(English) |
中文摘要 | 約60% 遺傳性多發骨軟骨瘤之病人會引起明顯的前臂變形。大部份此種變形可將 骨瘤切除及尺骨延長術加以治療。但有少部份因嚴重變形或是經由先前手術失敗之病例,則 可施行單骨前臂手術加以治療。本報告之病例即為此種少見之嚴重變形,我們施行單骨前臂 術之治療,術後三年之追蹤其變形矯正良好關節功能恢復甚佳。 |
英文摘要 | Significant forearm deformity occurs in 60% of patients affected with hereditary multiple exostoses, Most patients respond well to a combination of exostosis excision and ulnar lengthening, and some patients may require radial epiphysiodesis or radial head excision, But, as the disease progresses, the ulna becomes shortened, the radius bows, and the radial-humeral joint subluxated or dislocated. The carpus is translated toward the ulna and the hand deviates ulnarwared (the so-called ulnar claw hand). Then forearm rotation, motion of wrist and elbow, and grip strength are compromised. At this time, surgery is required to return the patient to an acceptable functional status. We have used the one-bone forearm to treat one patient with recalcitrant forearm deformity in hereditary multiple exostoses. Here, we report this patient treated with this operation, review the technical aspects of the creation of the so-called "one-bone forearm", and discuss the classification and treatment alternatives available to surgeons treating patients with forearm exostoses. The results of treatment show a functional, painless forearm at 3-year follow-up. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。