Nakase Takanobu, Kitano Motohiro, Kawai Hideo, Ueda Takafumi, Higuchi Chikahisa, Hamada Masayuki, Yoshikawa Hideki
Department of Orthopaedic Surgery, Hoshigaokakouseinenkin Hospital, 4-8-1, Hohigaoka, Hirakata, 573-8511, Japan.
Arch Orthop Trauma Surg. 2009 Sep;129(9):1197-201. doi: 10.1007/s00402-008-0702-y. Epub 2008 Sep 11.
Surgical results of correction of three-dimensional deformities with shortening of lower limbs by simple two-ring system of Taylor Spatial Frame have been reported. The deformities were caused by various kinds of skeletal disorders.
Ten cases were successfully corrected using distraction osteogenesis, being one case showed recurrence of deformity due to the nature of the disease.
The ranges of corrected deformities were 5 degrees-55 degrees in coronal angulation, 2 degrees-47 degrees in sagittal angulation, and 5 degrees-40 degrees in rotational deformities. Amount of lengthening ranged from 1.2 to 6.0 cm. Pin-site infection occurred in five cases, being no other complications. External fixation index was longer in a group of rotational correction over 10 degrees.
The current report seems the first series of cases with four-dimensional deformities treated by distraction osteogenesis by TSF and may help to determine the indication of use of TSF in case of treatment of patients suffering from deformities in the lower limbs.
已有报道称，采用泰勒空间框架简单双环系统矫正伴有下肢缩短的三维畸形的手术结果。这些畸形由各种骨骼疾病引起。
10例患者通过牵张成骨成功矫正，1例因疾病性质出现畸形复发。
矫正畸形的范围为冠状面成角5度至55度，矢状面成角2度至47度，旋转畸形5度至40度。延长长度为1.2至6.0厘米。5例发生针道感染，无其他并发症。旋转矫正超过10度的一组外固定指数较长。
本报告似乎是首例采用TSF牵张成骨治疗四维畸形的病例系列，可能有助于确定TSF在治疗下肢畸形患者时的使用指征。
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