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使用延长然后动态接骨板的概念进行牵张成骨术后的骨痂按摩。

Callus massage after distraction osteogenesis using the concept of lengthening then dynamic plating.

作者信息

Grünwald Leonard, Döbele Stephan, Höntzsch Dankward, Slongo Theddy, Stöckle Ulrich, Freude Thomas, Schröter Steffen

机构信息

Department of Traumatology and Reconstructive Surgery, BG Trauma Center Tübingen, Eberhard Karls University Tübingen, Schnarrrenbergstr. 95, 72076, Tübingen, Germany.

Inselspital, Bern University Hospital, Bern, Switzerland.

出版信息

Strategies Trauma Limb Reconstr. 2015 Aug;10(2):129-35. doi: 10.1007/s11751-015-0233-3. Epub 2015 Sep 4.

DOI:10.1007/s11751-015-0233-3
PMID:26338093
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4570884/
Abstract

Correction of complex deformities is a challenging procedure. Long-term wearing of a fixator after correction and lengthening are inconvenient and has a high rate of complication. The goals of the surgical treatment in the presented case were: (1) correction of the deformity and lengthening of the left leg by the Taylor spatial frame (TSF, Smith and Nephew, Marl, Germany); (2) reduction in the time the patient wears the TSF by changing the fixation system to a plate (lengthening then plating-LTP) and using a locking compression plate in conjunction with the 5.0 dynamic locking screws in order to accelerate bone healing.

摘要

复杂畸形的矫正手术颇具挑战性。矫正和延长术后长期佩戴固定架不便且并发症发生率高。本病例手术治疗的目标为：(1) 采用泰勒空间框架（TSF，德国马尔史密斯和侄子公司）矫正左下肢畸形并延长；(2) 通过将固定系统更换为钢板（先延长后植板-LTP）并使用锁定加压钢板联合5.0动力锁定螺钉来缩短患者佩戴TSF的时间，以促进骨愈合。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/347eecf3430e/11751_2015_233_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/48e33800876d/11751_2015_233_Fig1_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/b5faeba6d1e2/11751_2015_233_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/559f0da1d33c/11751_2015_233_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/d47ef5c2c272/11751_2015_233_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/347eecf3430e/11751_2015_233_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/48e33800876d/11751_2015_233_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/54b63a4af40c/11751_2015_233_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/2826571a4325/11751_2015_233_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/b5faeba6d1e2/11751_2015_233_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/559f0da1d33c/11751_2015_233_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/d47ef5c2c272/11751_2015_233_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2ce2/4570884/347eecf3430e/11751_2015_233_Fig7_HTML.jpg

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本文引用的文献

1
[Dynamic locking screw 5.0--first clinical experience].
Z Orthop Unfall. 2013 Jun;151(3):284-90. doi: 10.1055/s-0032-1328521. Epub 2013 Jun 14.
2
Treatment of femoral lengthening-related knee stiffness with a novel quadricepsplasty.采用新型股四头肌成形术治疗股骨延长相关的膝关节僵硬。
J Pediatr Orthop. 2013 Jun;33(4):446-52. doi: 10.1097/BPO.0b013e3182784e5d.
3
Taylor spatial frame in the treatment of neglected fractures.泰勒空间框架在治疗被忽视骨折中的应用
J Child Orthop. 2011 Apr;5(2):135-41. doi: 10.1007/s11832-011-0332-8. Epub 2011 Mar 8.
4
Does lengthening and then plating (LAP) shorten duration of external fixation?骨延长后再钢板固定（LAP）是否能缩短外固定的时间？
Clin Orthop Relat Res. 2012 Jun;470(6):1771-81. doi: 10.1007/s11999-011-2178-2. Epub 2011 Nov 15.
5
Complications and outcome of tibial lengthening using the Ilizarov method with or without a supplementary intramedullary nail: a case-matched comparative study.使用或不使用辅助髓内钉的伊利扎洛夫方法进行胫骨延长的并发症及结果：一项病例匹配的对照研究。
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Bone transport using the Ilizarov method: a review of complications in 100 consecutive cases.采用伊里扎洛夫方法进行骨搬运：100例连续病例并发症的回顾
Strategies Trauma Limb Reconstr. 2010 Apr;5(1):17-22. doi: 10.1007/s11751-010-0085-9. Epub 2010 Mar 9.
7
The dynamic locking screw (DLS) can increase interfragmentary motion on the near cortex of locked plating constructs by reducing the axial stiffness.动力锁定螺钉（DLS）可通过降低轴向刚度增加锁定接骨板结构近皮质处的断端活动度。
Langenbecks Arch Surg. 2010 Apr;395(4):421-8. doi: 10.1007/s00423-010-0636-z. Epub 2010 Apr 1.
8
Comparison of transverse wires and half pins in Taylor Spatial Frame: a biomechanical study.横向钢丝与半针在 Taylor 空间框架中的比较：一项生物力学研究。
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Growth disturbances without growth arrest after ACL reconstruction in children.儿童前交叉韧带重建后无生长停滞的生长障碍。
Knee Surg Sports Traumatol Arthrosc. 2010 Nov;18(11):1496-500. doi: 10.1007/s00167-010-1069-5. Epub 2010 Feb 25.
10
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