Kim Hayoung, Lee Sang Ki, Kim Kap Jung, Ahn Jae Hoon, Choy Won Sik, Kim Yong In, Koo Jea Yun
Department of Orthopedic Surgery, Eulji University College of Medicine, Seo-gu, Daejeon, South Korea.
Int Orthop. 2009 Jun;33(3):835-41. doi: 10.1007/s00264-008-0550-y. Epub 2008 Apr 16.
The aim of this study was to evaluate the efficacy of tibial lengthening using a reamed type intramedullary nail and an Ilizarov external fixator for the treatment of leg length discrepancy or short stature. This retrospective study was performed on 18 tibiae (13 patients) in which attempts were made to reduce complications. We used an Ilizarov external fixator and a nail (10 mm diameter in 17 tibiae and 11 mm in one tibia) in combination. Average limb lengthening was 4.19 cm (range, 2.5-5.5). The mean duration of external fixation was 12.58 days per centimetre gain in length, and the mean consolidation index was 40.53 (range, 35.45-51.85). All distracted segments healed spontaneously without refracture or malalignment. Gradual limb lengthening using a reamed type intramedullary nail and circular external fixation in combination was found to be reliable and effective and reduced external fixation time with fewer complications.
本研究的目的是评估使用扩髓型髓内钉和伊里扎洛夫外固定器进行胫骨延长治疗肢体长度不等或身材矮小的疗效。本回顾性研究对18例胫骨（13例患者）进行，旨在减少并发症。我们联合使用了伊里扎洛夫外固定器和髓内钉（17例胫骨直径为10 mm，1例胫骨直径为11 mm）。平均肢体延长4.19 cm（范围2.5 - 5.5 cm）。外固定的平均持续时间为每延长1厘米12.58天，平均愈合指数为40.53（范围35.45 - 51.85）。所有牵张节段均自行愈合，无再骨折或畸形。结果发现，联合使用扩髓型髓内钉和环形外固定进行逐步肢体延长是可靠且有效的，可减少外固定时间并降低并发症发生率。
