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[采用伊里扎洛夫方法对儿童腿部进行轴向矫正。附22例报告]

[Axial correction of the legs of children using the Ilizarov method. Apropos fo 22 cases].

作者信息

Plawecki S, Prevot J, Merloz P, Faure C, Butel J

机构信息

Département d'Orthopédie Traumatologie, Hôpital Albert-Michallon, CHUR de Grenoble.

出版信息

Chir Pediatr. 1990;31(1):35-42.

PMID:2387002
Abstract

22 axial corrections of limbs in children were performed using the Ilizarov technique between 1984 and 1986. This prospective study has been performed under the auspices of the Association pour l'Etude Systémique et l'Application de la Méthode d'Ilizarov en France (ASAMIF). Total correction of deformity was achieved in 20 cases. A minimal angulation (less than 5 degrees) was observed in two cases. In 9 cases tibia or femoral lengthening was performed simultaneously. After corticotomy and placement of the stimulant effect of limb distraction. The mean lengthenings achieved was 30 mm. Serious complications were are: there was one case of fracture of the regenerating bone. We deplore only two superficial pin track infections, two cases of rarefaction of bone. The bone consolidation was obtained on an average of two months. If inequality was associated (more than 40 mm) technique of double corticotomy was performed. The best and more results were certainly performed in great deformities. On the other hand the Ilizarov method addresses all inequalities of leg length, whatever the aetiology, who are associated with common deformity.

摘要

1984年至1986年间,采用伊里扎洛夫技术对22例儿童肢体进行了轴向矫正。这项前瞻性研究是在法国伊里扎洛夫系统研究与应用协会(ASAMIF)的支持下进行的。20例实现了畸形的完全矫正。2例观察到最小角度(小于5度)。9例同时进行了胫骨或股骨延长。在进行骨切开术并放置肢体延长刺激器后,平均延长长度为30毫米。严重并发症有:再生骨骨折1例。仅遗憾地出现了2例浅表针道感染、2例骨质稀疏。平均两个月实现骨愈合。如果存在长度不等(超过40毫米),则采用双骨切开术技术。在严重畸形中肯定能取得最佳和更多的效果。另一方面,伊里扎洛夫方法适用于所有与常见畸形相关的腿长不等情况,无论其病因如何。

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