PELVIC OSTEOTOMY FOR BLADDER EXSTROPHY

被引：0

作者：

SCHMIDT, AH ^{[1
]}

KEENEN, TL ^{[1
]}

TANK, ES ^{[1
]}

BIRD, CB ^{[1
]}

BEALS, RK ^{[1
]}

机构：

[1] OREGON HLTH SCI UNIV,DIV ORTHOPAED & REHABIL,3181 SW SAM JACKSON PK RD,OP13B,PORTLAND,OR 97201

来源：

JOURNAL OF PEDIATRIC ORTHOPAEDICS | 1993年 / 13卷 / 02期

关键词：

BLADDER EXSTROPHY; PELVIC OSTEOTOMY; PUBIC RAMOTOMY;

D O I：

暂无

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

Twenty-five patients with bladder exstrophy underwent pelvic osteotomy at or before initial bladder closure and anterior abdominal repair. Ten patients underwent bilateral iliac osteotomies before 1977. An alternative procedure consisting of bilateral superior pubic ramotomies has been used in 15 patients since 1977. In all patients, successful tension-free closure of the abdomen was achieved. Long-term follow-up of these two groups of patients shows no difference in the degree of pubic diastasis, which was asymptomatic. Posterior iliac osteotomy requires two additional incisions, longer operative time, and postoperative immobilization. We therefore recommend bilateral superior pubic ramotomy as an alternative procedure in initial reconstruction of the anterior abdomen in patients with bladder exstrophy.

引用

页码：214 / 219

页数：6