to undergo 3 corrective surgeries, amputated 8 bones and reconnected...
15-year-old girl Zhenzhen (pseudonym) finally ushered in a moment that has been performed countless times in her dreams—— Put on a beautiful skirt, no longer be afraid of others' eyes, and confidently show your legs.
Before that, because she inherited her mother's O-legs, Zhenzhen seldom went out, never wore a skirt, and even couldn't run because of restricted mobility, and she had never even attended gym class.
Jingjing and her mother
mothers have O-legs
daughters have not escaped the same fate
Many babies have O-legs when they are young, and their knees cannot be brought together. But unlike this kind of physiological O-legs, when Zhenzhen was just two years old, she was able to walk, Zhenzhen's mother discovered that her daughter's legs were different from normal children.
The last thing Zhenzhen’s mother wants to happen is that the child has inherited her own "loop legs" . She couldn't understand that everyone in the family was fine, and her parents and elder brothers were also normal. How could she get this ugly leg shape when she got here with her daughter.
"When I was a child, I thought every day why this happened, but the conditions at home were not good. If they wanted to be cured, they would break all the bones, so I gave up." Zhenzhen's mother told reporters.
Later, Zhenzhen's mother's marriage did not last long. She became a single mother and grew up with her children alone.
When Zhenzhen was 3 or 4 years old, Zhenzhen's mother took her daughter to the hospital to see a doctor, but she encountered medical care and was deceived to an irregular clinic.
's various bumpy experiences made Zhenzhen's mother gradually lower her head to reality. Seeing her daughter's legs bend more and more, there is no other way.
Until 2017, when a local caring company visited families in need, a kind boss met the mother and daughter, determined to help them, and expressed willingness to bear the relevant medical expenses.
experienced 3 operations in more than one year
8 osteotomy and then returned to
In October 2017, the caring boss took the mother and daughter from their hometown in Anhui to the Children’s Hospital of Zhejiang University School of Medicine in Hangzhou for treatment. Deputy Director Chen Jiansong was admitted A physician is an expert in the field of pediatric orthopedics in limb reconstruction.
"This mother and daughter left me a very deep impression," said Chen Jiansong, deputy chief physician. "Although both of them were wearing loose trousers at the time, they could clearly see the O-shaped legs. The mother was more important than the daughter. More serious." After diagnosis,
turned out to be a rare disease that caused the mother and daughter’s O-legs- "hereditary hypophosphatemic rickets" . Deputy Chief Physician Chen Jiansong introduced that this disease is related to mutations on the chromosomes. Lower limb deformities are typical symptoms of the disease. Some of them will be manifested as O-legs or X-legs, with a certain genetic probability. Without correction, the legs will bend more and more over time under the action of gravity. How can
make O-legs straight? Deputy Chief Physician Chen Jiansong said that older children and adults with lower limb deformities can undergo osteotomy orthopedic surgery , but it will take a more painful and long process. The operation takes several times to complete, and multiple bones need to be cut off, then reattached, and the steel plate is implanted for orthopedic , and the steel plate is removed after the operation depends on recovery.
Zhenzhen agreed without hesitation. More than a year after
, Zhenzhen underwent a total of 3 operations, each in the thigh, calf, ankle and other corresponding points. A total of 8 bones were cut off and reattached to until last April, when she came to Hangzhou for the last time. After follow-up visit, the steel plate of the thigh was removed.
The film in front of the thigh steel plate was removed, and the red circle was the osteotomy
. "After several operations, after so much pain, my daughter has always been strong and never complained." Zhenzhen's mother told reporters.
Now, Zhenzhen's legs are no different from normal people, and she has become more cheerful. In the third year of junior high school, she is preparing for next year's high school entrance examination . "She never wears skirts before, but now she likes to buy clothes online, and she bought a lot of skirts for herself." Z16z Zhenzhen's mother said.
after surgeryJing's legs straightened
When she mentioned whether she had any plans for surgery, Zhenzhen's mother said that she was getting used to it when she was old, and she felt a little scared about the surgery, and she might not be able to bear the pain of osteotomy.
Pathological lower limb deformity
Early intervention can make trauma and pain less
also suffers from hereditary low-phosphorus rickets. Compared with Zhenzhen, Guan Guan (a pseudonym) suffers less pain during the correction of lower limb deformities Much.
Guanguan is a native of Wenzhou. His mother has O-shaped legs, while Guanguan has X-shaped legs. Guan Guan had just turned 11 when he was taken to the orthopedics department of Zhejiang University Children's Hospital last year.
The film before the Guanguan operation
At this time, the Zhejiang University Children's Hospital has established an MDT (multidisciplinary diagnosis and treatment) team for hereditary bone disease. Experts from the Department of Genetics and Metabolism, Endocrinology, Orthopedics and other related majors have jointly discussed the Guanguan case , Finally chose the epiphyseal block surgery treatment plan.
"Children grow taller, mainly because the cells of the epiphyseal line continue to divide and grow. As they age, the epiphyseal line is basically closed when they are fifteen or sixteen years old. Guanguan is only 11 years old, and the epiphyseal line has not yet closed. There is still great growth potential, just like a small sapling is still growing, we can change its growth direction through some other methods without interrupting it to correct it. " Chen Jiansong, deputy chief physician introduced .
The inner epiphyseal line of the right leg was fixed with a steel plate, and the hind leg became longer and straight for a period of time. During the
operation, the doctor used a button-sized plate to fix the epiphyseal line of his right thigh and inner calf to temporarily restrict the inner side. The growth of bones, while the outer bones are still growing normally, after a period of time, the legs will gradually straighten. At this time, if the steel plate is removed, the medial bone can resume normal growth , which not only corrects the deformity of the lower limbs, but also does not affect the growth and development of the child. Z16z
Guan Guan after the operation with her mother
Chen Jiansong, deputy chief physician, said that epiphyseal block technology can not only correct X-shaped legs, but also apply to O-shaped legs, long and short legs. Whether this less traumatic and painful method can be used to correct lower limb deformities, the key is to see if the epiphyseal line is closed to assess the child's growth potential .
However, not all O-shaped legs and X-shaped legs need correction. According to Deputy Chief Physician Chen Jiansong, the growth and development of children is often accompanied by a process from O-leg to X-leg, which can generally be divided into the following stages:
Newborn: moderate knee varus → 6 months: mild Knee varus → 1 year and 7 months: straight legs → 2 years and 6 months: physiological knee valgus and protective toe deviation → 4 to 6 years old: legs straightened.
Therefore, mild O-legs under 3 years old and mild X-legs under 6 years old are mostly physiological and do not require treatment. What needs attention is that has family cases, or children with particularly curved legs, , can go to the hospital to be comprehensively evaluated by a hereditary bone disease MDT expert, and the children can be treated in time through early drug intervention or orthopedic surgery.
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Source: Tianmu News reporter Sui Xue correspondent Zhu Yaoling The copyright of
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Chief Editor: Wei Jieting
Chief Editor: Sui Xue
