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为探讨儿童腓骨移植后对供区踝关节发育有无影响。对４例吻合血管的腓骨移植儿童进行了临床及Ｘ线片随访观察，随访时间９～１２年，平均１０年。结果，自述供侧肢体无不适，整体生长情况正常，步态正常。Ｘ线片示：胫骨远端骨骺呈内高外低的“楔样变”，骨骺线与胫骨纵轴线角度正常，胫距关节间隙向外倾斜，关节间隙正常。距骨呈外高内低改变，均有踝穴外翻。内外踝发育较小，胫骨外侧骨皮质较内侧皮质厚。其中１例骨骺外侧半出现坏死改变，踝穴外翻、变浅。认为，破坏儿童腓骨的结构完整性——无论切取多长腓骨，必然引起踝关节生长紊乱。强调临床上应严格掌握儿童腓骨移植的适应证。
To investigate whether there is any effect on the ankle development in donor area after fibula transplantation. Fourteen cases of fibula-transplanted fistula were observed by X-ray and clinical observation. The follow-up time ranged from 9 to 12 years with an average of 10 years. Results, self-reported for no side of the body discomfort, the overall growth of normal, normal gait. X-ray showed: distal tibial epiphyseal showed a high inside and outside the low “wedge-like change”, epiphyseal line and the tibia longitudinal axis normal angle, tibial joint space tilt outwards, joint space is normal. Astragalus was outside the high low change, have ankle valgus. Development of smaller lateral malleolus, lateral cortex than the medial cortical thick. One case of epiphyseal lateral half necrosis changes, ankle valgus, shallow. That the destruction of the structural integrity of the child’s fibula - no matter how long the fibula cut, will inevitably lead to ankle growth disorders. Stressed that clinical should be strictly controlled indications of fibula transplantation in children.