胫骨延长术在身材矮小或肢体不等长患者中的应用：一项比较研究。
Tibial lengthening over an intramedullary nail in patients with short stature or leg-length discrepancy: a comparative study.
机构信息
Department of Orthopaedics, Tianjin Medical University General Hospital, No 154 Anshan Road, Tianjin 300052, China.
出版信息
Int Orthop. 2012 Jan;36(1):179-84. doi: 10.1007/s00264-011-1246-2. Epub 2011 Jun 7.
Abstract
PURPOSE
The aim of this study was to review our experiences with tibial lengthening over an intramedullary nail in comparison to the conventional Ilizarov method.
METHODS
We performed a retrospective comparison of tibial lengthening using the conventional Ilizarov method (group A: 23 limbs in 13 patients) versus over a nail (group B: 51 limbs in 26 patients). The percentage increase in tibial length, lengthening index, external fixation index, consolidation index and complications were assessed.
RESULTS
The mean gain in tibial length was 7.4 cm, which represents a mean increase of 26.0%. There was no difference in lengthening index or consolidation index; however, the patients in group A wore the external fixator longer than those in group B (281.5 versus 129.0 days), which represents a larger external fixation index (40.0 versus 17.4 day/cm). Group A had a higher complication rate (1.0 versus 0.47 per tibia) than group B.
CONCLUSIONS
Tibial lengthening over an intramedullary nail confers advantages over the conventional Ilizarov method, including shorter time needed for external fixation and lower complication rates.
摘要
目的
本研究旨在回顾我们使用髓内钉进行胫骨延长的经验，并与传统伊里扎洛夫（Ilizarov）方法进行比较。
方法
我们对使用传统伊里扎洛夫（Ilizarov）方法（A 组：13 名患者的 23 条肢体）和髓内钉（B 组：26 名患者的 51 条肢体）进行胫骨延长的病例进行回顾性比较。评估胫骨长度增加百分比、延长指数、外固定器指数、骨痂形成指数和并发症。
结果
胫骨长度平均增加 7.4cm，代表平均增加 26.0%。延长指数和骨痂形成指数无差异；然而，A 组患者佩戴外固定器的时间长于 B 组（281.5 天比 129.0 天），代表外固定器指数较大（40.0 天比 17.4 天/cm）。A 组的并发症发生率（每条胫骨 1.0 比 0.47）高于 B 组。
结论
髓内钉胫骨延长比传统伊里扎洛夫（Ilizarov）方法具有优势，包括外固定时间更短和并发症发生率更低。
相似文献
1
Tibial lengthening over an intramedullary nail in patients with short stature or leg-length discrepancy: a comparative study.胫骨延长术在身材矮小或肢体不等长患者中的应用：一项比较研究。
Int Orthop. 2012 Jan;36(1):179-84. doi: 10.1007/s00264-011-1246-2. Epub 2011 Jun 7.
2
Tibial lengthening over an intramedullary nail with use of the Ilizarov external fixator for idiopathic short stature.使用伊里扎洛夫外固定器结合髓内钉进行胫骨延长治疗特发性身材矮小。
J Bone Joint Surg Am. 2008 Sep;90(9):1970-8. doi: 10.2106/JBJS.G.00897.
3
Tibial lengthening using a reamed type intramedullary nail and an Ilizarov external fixator.使用扩髓型髓内钉和伊利扎洛夫外固定架进行胫骨延长术。
Int Orthop. 2009 Jun;33(3):835-41. doi: 10.1007/s00264-008-0550-y. Epub 2008 Apr 16.
4
Tibial lengthening over humeral and tibial intramedullary nails in patients with sequelae of poliomyelitis: a comparative study.脊髓灰质炎后遗症患者肱骨和胫骨髓内钉胫骨延长：一项对比研究。
Int Orthop. 2011 Jun;35(6):935-40. doi: 10.1007/s00264-010-1032-6. Epub 2010 May 9.
5
Tibial bone lengthening via external fixation: Comparative study of the traditional technique and a technique with intramedullary nail assistance.经外固定器进行胫骨骨延长：传统技术与髓内钉辅助技术的比较研究
Rev Esp Cir Ortop Traumatol (Engl Ed). 2018 Jan-Feb;62(1):8-18. doi: 10.1016/j.recot.2017.10.003. Epub 2017 Nov 12.
6
Tibial lengthening using a humeral intramedullary nail combined with a single-plane external fixator for leg discrepancy in sequelae of poliomyelitis.使用肱骨髓内钉联合单平面外固定器治疗小儿麻痹后遗症导致的下肢不等长的胫骨延长术。
J Pediatr Orthop B. 2011 Mar;20(2):84-8. doi: 10.1097/BPB.0b013e328340a7ea.
7
Tibial lengthening over an intramedullary nail.髓内钉固定下的胫骨延长术。
J Orthop Sci. 2005 Sep;10(5):480-5. doi: 10.1007/s00776-005-0939-z.
8
Lower limb lengthening over an intramedullary nail: a long-term follow-up study of 28 cases.髓内钉延长下肢：28 例长期随访研究。
J Orthop Traumatol. 2019 Sep 10;20(1):30. doi: 10.1186/s10195-019-0538-y.
9
Femoral lengthening over an intramedullary nail. A matched-case comparison with Ilizarov femoral lengthening.髓内钉固定下的股骨延长术。与伊里扎洛夫股骨延长术的配对病例比较。
J Bone Joint Surg Am. 1997 Oct;79(10):1464-80. doi: 10.2106/00004623-199710000-00003.
10
S-osteotomy with lengthening and then nailing compared with traditional Ilizarov method.S 型截骨延长后再钉棒固定与传统伊利扎洛夫方法的比较。
Int Orthop. 2013 Oct;37(10):1995-2000. doi: 10.1007/s00264-013-1962-x. Epub 2013 Jul 17.
引用本文的文献
1
A systematic review and meta-analysis:comparing the efficacy of the Ilizarov technique alone with lengthening over a nail for lower extremity bone defects.系统评价和荟萃分析：比较单独使用伊利扎罗夫技术与经皮穿钉延长治疗下肢骨缺损的疗效。
BMC Musculoskelet Disord. 2024 Sep 2;25(1):699. doi: 10.1186/s12891-024-07799-y.
2
The results of femoral lengthening using domestic unilateral external fixation and then plating: the first case series in Vietnam.采用国产单侧外固定器然后接骨板进行股骨延长的结果：越南的首个病例系列
Ann Med Surg (Lond). 2024 May 15;86(8):4344-4351. doi: 10.1097/MS9.0000000000002172. eCollection 2024 Aug.
3
Treatment of tibial bone defects caused by infection: a retrospective comparative study of bone transport using a combined technique of unilateral external fixation over an intramedullary nail versus circular external fixation over an intramedullary nail.感染导致的胫骨骨缺损的治疗：单侧髓内钉外固定结合骨搬运技术与环形髓内钉外固定的回顾性对比研究。
BMC Musculoskelet Disord. 2024 Apr 12;25(1):284. doi: 10.1186/s12891-024-07377-2.
4
Comparing the mechanical characteristics between leg lengthening using only an Ilizarov external fixator and leg lengthening over a nail using an external fixator manufactured in Vietnam.比较仅使用伊利扎罗夫外固定器进行腿部延长与使用越南制造的外固定器在髓内钉上进行腿部延长之间的力学特性。
Eur J Orthop Surg Traumatol. 2024 Feb;34(2):839-846. doi: 10.1007/s00590-023-03726-4. Epub 2023 Sep 23.
5
Treatment of 18 cm lower limb length discrepancy using lengthening over nail technique in tibia and lengthening and plating in femur - A case report.采用胫骨交锁髓内钉延长技术及股骨延长钢板固定治疗下肢长度相差18厘米——1例病例报告
Int J Surg Case Rep. 2023 Mar;104:107961. doi: 10.1016/j.ijscr.2023.107961. Epub 2023 Mar 4.
6
Extreme Lengthening of Tibia Using Bone Transport Technique: A Rare Case Report.使用骨搬运技术进行胫骨极度延长：一例罕见病例报告
Cureus. 2022 Dec 20;14(12):e32721. doi: 10.7759/cureus.32721. eCollection 2022 Dec.
7
Functional outcomes and complications of tibial lengthening using unilateral external fixation and then plating. A prospective case series.采用单侧外固定加钢板固定进行胫骨延长的功能结果及并发症。一项前瞻性病例系列研究。
Ann Med Surg (Lond). 2022 Jan 19;74:103262. doi: 10.1016/j.amsu.2022.103262. eCollection 2022 Feb.
8
Integrated Limb Lengthening Is Superior to Classical Limb Lengthening: A Systematic Review and Meta-analysis of the Literature.肢体延长与传统肢体延长术的对比：系统评价与文献荟萃分析
J Am Acad Orthop Surg Glob Res Rev. 2020 Jun 12;4(6). doi: 10.5435/JAAOSGlobal-D-20-00054. eCollection 2020 Jun.
9
Lower limb lengthening over an intramedullary nail: a long-term follow-up study of 28 cases.髓内钉延长下肢：28 例长期随访研究。
J Orthop Traumatol. 2019 Sep 10;20(1):30. doi: 10.1186/s10195-019-0538-y.
10
Low-intensity pulsed ultrasound enhances callus consolidation in distraction osteogenesis of the tibia by the technique of lengthening over the nail procedure.低强度脉冲超声通过经髓内钉延长技术促进胫骨牵张成骨中骨痂的巩固。
BMC Musculoskelet Disord. 2019 Mar 14;20(1):108. doi: 10.1186/s12891-019-2490-7.
本文引用的文献
1
Ilizarov principles of deformity correction.伊利扎洛夫畸形矫正原则。
Ann R Coll Surg Engl. 2010 Mar;92(2):101-5. doi: 10.1308/003588410X12518836439326.
2
The effect of distraction-resisting forces on the tibia during distraction osteogenesis.牵张成骨过程中抗牵张力量对胫骨的影响。
J Bone Joint Surg Am. 2009 Jul;91(7):1671-82. doi: 10.2106/JBJS.G.01238.
3
Tibial lengthening over an intramedullary nail with use of the Ilizarov external fixator for idiopathic short stature.使用伊里扎洛夫外固定器结合髓内钉进行胫骨延长治疗特发性身材矮小。
J Bone Joint Surg Am. 2008 Sep;90(9):1970-8. doi: 10.2106/JBJS.G.00897.
4
Tibial lengthening using a reamed type intramedullary nail and an Ilizarov external fixator.使用扩髓型髓内钉和伊利扎洛夫外固定架进行胫骨延长术。
Int Orthop. 2009 Jun;33(3):835-41. doi: 10.1007/s00264-008-0550-y. Epub 2008 Apr 16.
5
Axial deformity correction in children via distraction osteogenesis.儿童轴向畸形矫正的牵张成骨术
Int Orthop. 2006 Aug;30(4):278-83. doi: 10.1007/s00264-005-0071-x. Epub 2006 Mar 18.
6
Tibial lengthening over an intramedullary nail.髓内钉固定下的胫骨延长术。
J Orthop Sci. 2005 Sep;10(5):480-5. doi: 10.1007/s00776-005-0939-z.
7
Femoral lengthening over an intramedullary nail using the external fixator: risk of infection and knee problems in 22 patients with a follow-up of 2 years or more.使用外固定器经髓内钉延长股骨：22例随访2年及以上患者的感染风险和膝关节问题
Acta Orthop. 2005 Apr;76(2):245-52. doi: 10.1080/00016470510030652.
8
Complications encountered during lengthening over an intramedullary nail.髓内钉延长过程中遇到的并发症。
J Bone Joint Surg Am. 2004 Nov;86(11):2406-11. doi: 10.2106/00004623-200411000-00007.
9
Leg lengthening over an intramedullary nail.髓内钉延长术。
J Bone Joint Surg Br. 1999 Nov;81(6):1041-5. doi: 10.1302/0301-620x.81b6.9359.
10
Lengthening of the tibia over an intramedullary nail, using the Ilizarov external fixator. Major complications and slow consolidation in 9 lengthenings.使用伊里扎洛夫外固定器经髓内钉延长胫骨。9例延长手术出现严重并发症且骨愈合缓慢。
Acta Orthop Scand. 1999 Jun;70(3):271-4. doi: 10.3109/17453679908997806.
Zotero 插件