Département de chirurgie orthopédique, traumatologique et plastique, CHU de Toulouse, place du Dr-Baylac, 31059 Toulouse, France.
Département de chirurgie orthopédique, traumatologique et plastique, CHU de Toulouse, place du Dr-Baylac, 31059 Toulouse, France.
Orthop Traumatol Surg Res. 2018 Feb;104(1):147-153. doi: 10.1016/j.otsr.2017.10.012. Epub 2017 Dec 11.
An 18-year-old male with neurofibromatosis type I was treated for congenital pseudarthrosis of the tibia using the Masquelet induced-membrane technique with internal fixation by retrograde implantation of a transplantar intramedullary nail. Bone healing was obtained at the expense of malunion with external rotation and 5.5cm of lower limb shortening. A motorised intramedullary-lengthening nail (Fitbone, Wittenstein, Igersheim, Germany) was implanted. This treatment was successful in correcting the rotational malalignment and limb length discrepancy. The motorised nail Fitbone may be a valid option for treating complex cases of limb length discrepancy, including those combined with limb deformities.
一位 18 岁男性患有神经纤维瘤病 I 型，采用 Masquelet 诱导膜技术，通过逆行植入移植髓内钉进行内固定治疗先天性胫骨假关节。骨愈合是以外部旋转和下肢缩短 5.5cm 为代价的畸形愈合。植入了机动髓内延长钉（Fitbone，Wittenstein，Igersheim，德国）。这种治疗成功地纠正了旋转对线不良和肢体长度差异。机动钉 Fitbone 可能是治疗复杂肢体长度差异病例的有效选择，包括那些伴有肢体畸形的病例。
