Shiha A E, Khalifa A R H, Assaghir Y M, Kenawey M O
Department of Orthopaedic Surgery, Faculty of Medicine, Sohag University, Sohag, Egypt.
J Bone Joint Surg Br. 2008 Dec;90(12):1627-30. doi: 10.1302/0301-620X.90B12.21378.
We present two children with massive defects of the tibia and an associated active infection who were treated by medial transport of the fibula using the Ilizarov device. The first child had chronic discharging osteomyelitis which affected the whole tibial shaft. The second had sustained bilateral grade-IIIB open tibial fractures in a motor-car accident. The first child was followed up for three years and the second for two years. Both achieved solid union between the proximal and distal stumps of the tibia and the fibula, with hypertrophy of the fibula. The first child had a normal range of movement at the knee, ankle and foot but there was shortening of 1.5 cm. The second had persistent anterior angulation at the proximal tibiofibular junction and the ankle was stiff in equinus.
我们介绍了两名患有胫骨大面积缺损并伴有活动性感染的儿童，他们接受了使用伊利扎罗夫器械进行的腓骨内侧移位治疗。第一个孩子患有慢性化脓性骨髓炎，累及整个胫骨干。第二个孩子在一次车祸中双侧发生ⅢB级开放性胫骨骨折。第一个孩子随访了三年，第二个孩子随访了两年。两个孩子的胫骨和腓骨近端与远端残端均实现了牢固愈合，腓骨肥大。第一个孩子的膝关节、踝关节和足部活动范围正常，但有1.5厘米的短缩。第二个孩子在胫腓近端关节处持续存在前凸畸形，踝关节呈马蹄足僵硬。
