Department of the Locomotor Apparatus, Federal University of Minas Gerais and Felicio Rocho Hospital, Belo Horizonte, Brazil.
Orthopedic Trauma Service, Hospital for Special Surgery and New York Presbyterian Hospital, New York, NY.
J Orthop Trauma. 2018 Oct;32(10):e415-e420. doi: 10.1097/BOT.0000000000001257.
Surgical management of lower extremity malunions and acute fractures in the setting of lower extremity deformities presents a unique challenge for orthopaedic surgeons. The objective of this study was to evaluate the outcomes of using the clamshell osteotomy in patients with acute fractures involving a malunion or deformity. A retrospective review of the cases performed by various orthopaedic traumatologists at 4 different trauma centers was performed to identify cases using the clamshell osteotomy from January 2012 to January 2016. Nine clamshell osteotomy cases were identified, 4 presenting fractures in the setting of previous malunions. All osteotomies healed within 15 months (average 6.8 ± 4.4 SD). In this multicenter case series, we demonstrate that using clamshell osteotomies can result in excellent outcomes for permitting intramedullary nailing of acute fractures in patients with lower extremity deformity.
在下肢畸形的情况下，下肢骨畸形愈合和急性骨折的手术治疗对矫形外科医生来说是一个独特的挑战。本研究的目的是评估在涉及畸形愈合或畸形的急性骨折患者中使用贝壳式切开术的效果。对 4 个不同创伤中心的多位矫形创伤外科医生进行的回顾性病例研究，以确定 2012 年 1 月至 2016 年 1 月期间使用贝壳式切开术的病例。共发现 9 例贝壳式切开术，其中 4 例为先前畸形愈合的骨折。所有截骨均在 15 个月内愈合（平均 6.8 ± 4.4 SD）。在这项多中心病例系列研究中，我们证明了在下肢畸形的急性骨折患者中，使用贝壳式切开术可以通过髓内钉固定获得极好的效果。
