Abstract：
METHODS: A 13-year-old adolescent boy with hemiplegic cerebral palsy suffering from fixed knee flexion deformity of 10° despite extensive conservative treatment. Owing to a posterior tibial slope (PTS) of 16°, anterior hemiepiphysiodesis was applied to the proximal tibia. The 2 screws were removed after 9 months. Final follow-up at 16 months showed complete knee extension and a PTS of 4°.
CONCLUSIONS: The presented technique is a good alternative in knee flexion deformity with an increased PTS and has surprisingly not been described in the literature. This might be worth considering for other pathologies such as pediatric anterior cruciate ligament injury with an increased PTS.
CONCLUSIONS: The presented technique is a good alternative in knee flexion deformity with an increased PTS and has surprisingly not been described in the literature. This might be worth considering for other pathologies such as pediatric anterior cruciate ligament injury with an increased PTS.
摘要：
方法：一名13岁的青少年男孩患有偏瘫性脑瘫，尽管进行了广泛的保守治疗，但膝关节屈曲畸形为10°。由于胫骨后斜度(PTS)为16°,胫骨近端应用前半表皮固定术。9个月后取出2个螺钉。16个月的最后随访显示膝关节完全伸展，PTS为4°。
结论：所提出的技术是治疗膝关节屈曲畸形并增加PTS的良好替代方法，令人惊讶的是文献中没有描述。对于其他病理，例如小儿前交叉韧带损伤伴PTS增加，这可能值得考虑。
结论：所提出的技术是治疗膝关节屈曲畸形并增加PTS的良好替代方法，令人惊讶的是文献中没有描述。对于其他病理，例如小儿前交叉韧带损伤伴PTS增加，这可能值得考虑。
