Bernstein Mitchell
Department of Orthopaedic Surgery and Rehabilitation, Loyola University Medical Center, Maywood, IL.
J Orthop Trauma. 2017 Jun;31 Suppl 2(6 Suppl):S20-S24. doi: 10.1097/BOT.0000000000000845.
Limb equalization using the Ilizarov method has evolved and adapted the use of internal lengthening devices. One of the newest devices, termed "PRECICE," is a magnetically controlled telescoping nail. Complications such as pin site infection and skin irritation are eliminated. Despite trauma surgeons' familiarity with intramedullary nailing, the Ilizarov method requires sound knowledge of deformity analysis and awareness of specific complications associated with distraction osteogenesis. This manuscript discusses some of the practical preoperative and intraoperative components of limb lengthening.
使用伊里扎洛夫方法进行肢体均衡已经发展并采用了内部延长装置。最新的一种装置称为“PRECICE”,是一种磁控伸缩钉。诸如针道感染和皮肤刺激等并发症得以消除。尽管创伤外科医生熟悉髓内钉固定,但伊里扎洛夫方法需要对畸形分析有扎实的知识,并了解与牵张成骨相关的特定并发症。本文讨论了肢体延长术前和术中的一些实际操作要点。