應用骨外固定行肘內翻畸型矯正手術－病例報告

Use of the Hoffmann Apparatus in the Correction of the Cubitus Varus Deformity-A Case Report

陳熙全(Shi-Chuang Chen) ； 林永福(Yeong-Fwu Lin)

《物理治療學會雜誌》 9卷 (1984/11) Pp. 52-56

https://doi.org/10.29617/JPT.198411.0010

摘要

肱骨髁上骨折，如果骨折之遠心端有向內偏移及旋轉的現象，又沒有即時做好復位嬌正，事後將會發生癒合不良，進而漸漸形成的內翻畸型。
肘內翻畸型，通常不必手術矯正，除非是畸型嚴重得足以影響到肘關節的正常功能或是患者本身為美觀上的要求等因素才考慮手術矯正。
嬌正肘內翻畸型，一般皆採用閉式楔形截骨術(closed -wedge osteotomy)利用K-pin或Small Plate或是French方式固定而後再用石膏做最後固定，固定的時間約4到6週。
本文提出我們第一個經驗報告，矯正肘內翻畸型，在閉式楔形截骨術之後直接應用骨外固定裝置器(Hoffmann apparatus)固定8週，不必再利用石膏固定，因此手術之從，隨即可施行復健運動，可讓病人早日恢復正常的肘關節功能及肌肉力量。

並列摘要

The Cubitus varus deformity caused by malunion in Supracondylar region usually may not interfere with function of the elbow, but when the deformity is disabling, or cosmetically unacceptable, it should be corrected.
The deformity should be corrected by a closed-wedge osteotomy and immobilized by p.p. splint or cast until union at 4 to 6 weeks, and then active motion is gradually begun.
We employed the Hoffmann apparatus directly in the correction of the cubitus varus after osteotomy instead of conventional technique. We found that patient could be regained the full range of motion of the elbow joint and normal grade of muscle power as soon as the Hoffmann apparatus was removed. When union at 8 weeks.

並列關鍵字

elbow ； osteotomy ； cubitus varus