用Ilizarov法对小儿腿部进行轴向矫正。[约22例]。

Chirurgie pediatrique Pub Date : 1990-01-01
S Plawecki, J Prevot, P Merloz, C Faure, J Butel
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引用次数: 0

摘要

在1984年至1986年间,采用Ilizarov技术对22例儿童进行了四肢轴向矫正。这项前瞻性研究是在法国研究系统和应用伊里扎罗夫系统和应用协会(ASAMIF)的主持下进行的。20例实现畸形完全矫正。在两个病例中观察到最小的成角(小于5度)。9例同时行胫骨或股骨延长术。皮质切开术后肢体牵张的刺激作用。平均延长长度为30毫米。严重并发症有:再生骨骨折1例。我们遗憾的是只有两例浅表针迹感染,两例骨质疏松。骨巩固的时间平均为两个月。如果不平等(超过40毫米),则行双皮质切开术。最好的和更多的结果当然是在严重的畸形中进行的。另一方面,Ilizarov方法解决了所有与常见畸形相关的腿长不平等,无论病因如何。
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[Axial correction of the legs of children using the Ilizarov method. Apropos fo 22 cases].

22 axial corrections of limbs in children were performed using the Ilizarov technique between 1984 and 1986. This prospective study has been performed under the auspices of the Association pour l'Etude Systémique et l'Application de la Méthode d'Ilizarov en France (ASAMIF). Total correction of deformity was achieved in 20 cases. A minimal angulation (less than 5 degrees) was observed in two cases. In 9 cases tibia or femoral lengthening was performed simultaneously. After corticotomy and placement of the stimulant effect of limb distraction. The mean lengthenings achieved was 30 mm. Serious complications were are: there was one case of fracture of the regenerating bone. We deplore only two superficial pin track infections, two cases of rarefaction of bone. The bone consolidation was obtained on an average of two months. If inequality was associated (more than 40 mm) technique of double corticotomy was performed. The best and more results were certainly performed in great deformities. On the other hand the Ilizarov method addresses all inequalities of leg length, whatever the aetiology, who are associated with common deformity.

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