Bone Bridge Transtibial Amputation by an Innovative Technique.

Yurii Oleksiiovych Bezsmertnyi, Viktor Ivanovych Shevchuk, Oleksandr Yuriyovych Bezsmertnyi, Oleksandr Yuriyovych Branitsky, Dmytro Vadymovych Bondarenko
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Abstract

We present a case report of synostosis after transtibial amputation because of distraction regenerate formation after decortication of the lateral surfaces of the tibia and fibula, sequential compression, and distraction using the Ilizarov apparatus. Its advantage is that there is no need to shorten bone. The establishment of distal tibia-fibula synostosis (Ertl) in patients with transtibial amputation has been advocated to improve function and prosthetic wear. There are a variety of techniques to create a bone block. This case reports the successful use of an innovative technique to establish bone block. A patient with transtibial amputation underwent revision of residual limb by decorticating the lateral aspect of the distal tibia and the medial aspect of the distal fibula and acutely compressing the distal ends of the 2 bones with the Ilizarov apparatus. The distal fibula is then slowly and progressively distracted laterally, and the bone is formed in the space between the distal fibula and tibia, creating synostosis with an increased distal bone cross-sectional surface area for improved function and prosthetic wear. The follow-up period was 24 months. Within 3 months, synostosis was formed, which increased the area of the supporting surface and allowed temporary and then permanent prosthetics. After 24 months, synostosis did not differ from the structure of tibial stump bones.

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采用创新技术的骨桥经胫截肢术
我们报告了一例经胫骨和腓骨外侧剥离、连续加压并使用 Ilizarov 仪器牵引后,因牵张再生形成的经胫骨截肢后滑脱的病例。其优点是无需缩短骨骼。在经胫骨截肢患者中建立胫腓骨远端合骨关节(Ertl),以改善患者的功能和假肢磨损,一直是人们所提倡的。制作骨块的技术多种多样。本病例报告了成功使用创新技术建立骨块的案例。一名经胫骨截肢的患者接受了残肢翻修手术,方法是剥离胫骨远端外侧和腓骨远端内侧,并用 Ilizarov 装置急性压迫这两块骨头的远端。然后将腓骨远端缓慢地逐渐向外侧牵开,在腓骨远端和胫骨之间的空隙中形成骨质,形成合体,增加远端骨质横截面积,从而改善功能和假体磨损。随访期为 24 个月。在 3 个月内,合骨形成,增加了支撑面的面积,可以安装临时假体,然后再安装永久假体。24 个月后,突起与胫骨残端骨的结构没有区别。
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来源期刊
CiteScore
2.60
自引率
6.70%
发文量
282
审稿时长
8 weeks
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