Atar D, Lehman W B, Grant A D, Strongwater A, Frankel V H, Posner M, Golyakhovsky V
Department of Pediatric Orthopedic Surgery, Hospital for Joint Diseases, New York, New York.
Bull N Y Acad Med. 1992 Nov;68(4):447-69.
A new "bloodless" technique (Ilizarov) was used to correct 36 limb deformities in 29 children. There were six leg length discrepancies, five achondroplasias, four deformed feet, five joint contractures, one rotational deformity of tibia, and in three the apparatus was used as an external fixator after corrective osteotomy. Lengthening was accomplished in 15 of the 16 procedures (93%). Average increase in femur length was 10 cm (32%), in tibial length 7.5 cm (30%), in humerus 11 cm (40%). Bony union was achieved in two out of five pseudoarthroses. Four deformed feet were fully corrected. Joint contractures were corrected in four out of five. The complication rate is as high as in other methods but with the Ilizarov apparatus, longer segments of bone were lengthened and more complex deformities were treated. Complications lessened as experience was gained.
一种新的“无血”技术（伊里扎洛夫技术）被用于矫正29名儿童的36处肢体畸形。其中有6例肢体长度不等、5例软骨发育不全、4例足部畸形、5例关节挛缩、1例胫骨旋转畸形，还有3例在截骨矫正术后将该器械用作外固定器。16例手术中有15例（93%）实现了延长。股骨平均延长长度为10厘米（32%），胫骨为7.5厘米（30%），肱骨为11厘米（40%）。5例假关节中有2例实现了骨愈合。4例足部畸形得到完全矫正。5例关节挛缩中有4例得到矫正。并发症发生率与其他方法一样高，但使用伊里扎洛夫器械可以延长更长的骨段并治疗更复杂的畸形。随着经验的积累，并发症有所减少。
