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治疗",[],[],{"_uid":360,"text":361,"component":322,"text_style":362,"component_style":363},"cb816814-a9dc-4843-ad55-482184380a72","为了利用残余的生长进行矫正，在第一次小手术中，在右侧大腿和小腿的外侧进行了临时骺板阻滞（骺板钉）。然而，这种生长引导手术只有一个很小的机会窗口，可以避免以后更多的手术。在这个病例中，由于在ZEM-Germany医院的初次就诊时间较晚，所以只能实现部分矫正。\n\n因此，在长度增长完成后，必须按计划对剩余的畸形进行手术矫正，首先是大腿，3个月后是小腿。在任何时候，这个男孩都可以用前臂拐杖活动，并能在右腿上承受20公斤的重量，直到骨头完全愈合。",[],[],{"_uid":365,"image":366,"title":369,"component":342,"copyright":9,"image_style":370,"component_style":371},"fd67caef-6c85-477c-9540-f71c37a07f94",{"id":367,"alt":99,"name":9,"focus":99,"title":99,"filename":368,"copyright":99,"fieldtype":11},4678157,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F3902x7804\u002F3ce7f3e873\u002Fcase_17_3.png","第1次手术：8字钢板",[],[372],"lg:col-span-4",{"_uid":374,"image":375,"title":378,"component":342,"copyright":9,"image_style":379,"component_style":380},"16ebe76f-346a-4bd0-9b45-d39f6d439b08",{"id":376,"alt":99,"name":9,"focus":99,"title":99,"filename":377,"copyright":99,"fieldtype":11},4678158,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F3937x7875\u002F92de0e4625\u002Fcase_17_4.png","第2次手术：股骨髁上轴线矫正",[],[372],{"_uid":382,"image":383,"title":386,"component":342,"copyright":9,"image_style":387,"component_style":388},"bba625e5-a4e9-4b70-aeb6-5d93471aa7d0",{"id":384,"alt":99,"name":9,"focus":99,"title":99,"filename":385,"copyright":99,"fieldtype":11},4678161,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F3943x7885\u002Fe0e9c0d7f4\u002Fcase_17_6.png","第3次手术：HTO（胫骨高位截骨术）",[],[372],{"_uid":390,"text":391,"component":322,"text_style":392,"component_style":393},"1181f33c-c9bd-4e52-aa88-552fdf66612e","## 结果",[],[],{"_uid":395,"text":396,"component":322,"text_style":397,"component_style":398},"68158ab6-4bd0-4663-ab7d-a0af18c62a95","巩固和拆除植入物后的腿部测量显示，右侧的腿部轴线居中、笔直。骨骼已经完全愈合，在负载下再次稳定。腿部的缩短也得到了补偿。这样，矫正就避免了由于单侧超负荷而可能对膝关节造成的后果性损伤，也避免了脊柱的姿势异常。同时，这个年轻人可以再次不受限制地参加运动，并相信他有一天会成为一个著名的职业足球运动员。\n\n特别是考虑到密集的体育活动，左腿的O型腿也应该得到矫正。对于这个热衷于运动的年轻人来说，这不是一个简单的决定，但由于他的运动野心，这是一个 \"必须\"。",[],[335],{"_uid":400,"image":401,"title":404,"component":342,"copyright":9,"image_style":405,"component_style":406},"46bd2779-7e4e-4ca9-85d0-ca4e8c5e5e49",{"id":402,"alt":9,"name":9,"focus":9,"title":9,"filename":403,"copyright":9,"fieldtype":11,"is_external_url":12},6398541,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F1916x3832\u002F88b3646043\u002Fcase_17_7.png","治疗完成",[],[345],{"_uid":408,"image":409,"title":412,"component":342,"copyright":9,"image_style":413,"component_style":414},"1d05f553-37ea-448c-bd13-9bfa5b78efb5",{"id":410,"alt":9,"name":9,"focus":9,"title":9,"filename":411,"copyright":9,"fieldtype":11,"is_external_url":12},6398542,"https:\u002F\u002Fa.storyblok.com\u002Ff\u002F56859\u002F4039x8078\u002F9712812826\u002Fcase_17_8.png","通过手术矫正大腿和小腿后，右腿笔直。",[],[345],{"_uid":416,"title":417,"stories":418,"component":433},"b0322016-634a-4d3f-b56a-f323cbdf48e7","更多信息",[419,426],{"uuid":420,"full_slug":421,"content":422},"86228d29-bbca-475a-aa21-70488bd57989","zh\u002Fzhi4-liao2-fan4-wei2\u002Fsheng1-zhang3-diao4-jie2",{"_uid":423,"_editable":-1,"image":424,"intro":425,"meta_title":233},"014d88f1-63fb-4452-b085-53b3871ff985",{"id":99,"alt":99,"name":9,"focus":99,"title":99,"filename":9,"copyright":99,"fieldtype":11},"只要儿童和青少年的生长板还未闭合，在许多情况下，异常的生长可以通过一个非常小的手术干预来矫正。这意味着有些患者可以避免在成年后进行大手术--这种机会稍纵即逝。",{"uuid":427,"full_slug":428,"content":429},"32ab2fac-1046-4990-a929-feda0ef7185d","zh\u002Fzhi4-liao2-fan4-wei2\u002Fzhou2-xian4-he2-niu3-zhuan3-jiao3-zheng4",{"_uid":430,"_editable":-1,"image":431,"intro":432,"meta_title":230},"7b24a0c9-239e-42e8-9a57-d06554cf5cc4",{"id":99,"alt":99,"name":9,"focus":99,"title":99,"filename":9,"copyright":99,"fieldtype":11},"腿部几何形状的变形可导致关节的异常负荷和关节的过早磨损。无论是作为预防措施的年轻人，还是已经发生磨损的老年人，轴线或扭转矫正都是保护关节的一个重要治疗选择，在许多情况下可以避免或至少推迟人工膝关节置换的需要。","Reference",{"id":339,"alt":99,"name":9,"focus":99,"title":99,"filename":340,"copyright":99,"fieldtype":11},"该患者13岁时首次来诊，右侧O型腿（膝内翻）在两年内逐渐加重。","Page",[],[439],"max-w-screen-lg","morbus-blount","zh\u002Fan4-li4-yan2-jiu1\u002Fbu4-lang3-te4-shi4-bing4",170,[],5185868,"63c1024d-ce8f-417c-abba-bab7303f4f95","2020-12-29T13:15:35.000Z",[],"fallbeispiele\u002Fmorbus-blount",[450,454,458,462,466],{"path":451,"name":452,"lang":453,"published":21},"cases\u002Fblounts-disease","Blount's 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