【摘要】 目的　观察用骨桥切除、脂肪填塞、同时截骨矫正畸形治疗小儿骨骺早闭的远期效果。方法　对骨骺损伤后发生骨骺早闭、肢体畸形的 9例患儿 ,采用骨桥磨除、自体脂肪填塞、同时截骨矫正畸形的方法进行治疗 ,5例平均随访 2 .5年。结果　获随访病例在外观及功能上得到了明显的改善 ,移植于骨桥内的脂肪全部成活 ,患肢发育与健侧基本相同。结论　对骨骺早闭的病例在行骨桥切除、脂肪填塞的同时 ,必须进行截骨矫正畸形 ,以防再发更多还原

【Abstract】 Objective To observe the long term results of both free fat graft interposition and osteotomy,the two techniques were used in the management of epiphyseal injuries with established growth disturbances.Methods 9 cases of epiphyseal injuries with established growth disturbances have been treated by using free fat graft interposition and osteotomy. 5 of them were followed up for an average of 2.5 years.Results Obvious improvement in function and the appearance was noted in all cases. The development of the affected limb was nearly normal as compared with that of the unaffected one.Conclusions Osteotomy must be performed simultaneously when free fat graft interposition is used to treat the case of growth arrests after epiphyseal injuries.更多还原