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病例报告:单阶段双伊里扎洛夫延长技术治疗先天性腓骨缺如患儿

Case report: Single-session double-Ilizarov lengthening technique in the treatment of a child with congenital fibular deficiency.

作者信息

Shu Wen, Yue Changjie, Zhong Haobo, Tang Xin

机构信息

Department of Trauma Orthopedics, Liuzhou People's Hospital, Liuzhou, China.

Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.

出版信息

Front Pediatr. 2022 Jul 29;10:952591. doi: 10.3389/fped.2022.952591. eCollection 2022.

DOI:10.3389/fped.2022.952591
PMID:35967573
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9372609/
Abstract

BACKGROUND

Congenital fibular deficiency is a rare disease with a broad spectrum of deformities. Associated anomalies complicate the symptoms of patients and, consequently, individualized treatments that aim at normal function and acceptable appearance.

CASE PRESENTATION

We present a case of congenital femoral and fibular shortening in the right lower limb with foot anomaly at school age. The patient underwent limb lengthening procedure in a single session on the right femur and tibia at the same time using a double-Ilizarov frame. The functional and cosmetic of his right lower extremity achieved a good outcome. Complications were minimal except for the superficial infection. Treatment lasted for 9.2 months, allowing for returning the patient to functional activity as soon as possible.

CONCLUSION

A satisfactory result was obtained with limb lengthening in a single session using double Ilizarov external fixators in a school-aged patient with congenital fibular deficiency.

摘要

背景

先天性腓骨缺如为一种罕见疾病,伴有广泛的畸形。相关异常使患者症状复杂化,因此需要针对正常功能和可接受外观的个体化治疗。

病例报告

我们报告一例学龄期右下肢先天性股骨和腓骨短小并伴有足部异常的病例。患者使用双伊里扎洛夫架同时对右侧股骨和胫骨进行一次性肢体延长手术。其右下肢的功能和外观均取得良好效果。除浅表感染外,并发症极少。治疗持续9.2个月,使患者能够尽快恢复功能活动。

结论

对于一名患有先天性腓骨缺如的学龄期患者,使用双伊里扎洛夫外固定架进行一次性肢体延长取得了满意的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff17/9372609/ad71cb0bd478/fped-10-952591-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff17/9372609/e8daea8c7281/fped-10-952591-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff17/9372609/ad71cb0bd478/fped-10-952591-g0002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff17/9372609/e8daea8c7281/fped-10-952591-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff17/9372609/ad71cb0bd478/fped-10-952591-g0002.jpg

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本文引用的文献

1
Lengthening Reconstruction Surgery for Fibular Hemimelia: A Review.腓骨半侧发育不全的延长重建手术:综述
Children (Basel). 2021 Jun 2;8(6):467. doi: 10.3390/children8060467.
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Use of Paley Classification and SUPERankle Procedure in the Management of Fibular Hemimelia.佩利分类法及SUPERankle手术在腓骨半侧发育不全治疗中的应用
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The role of external fixation in paediatric limb lengthening and deformity correction.外固定架在小儿肢体延长和畸形矫正中的作用。
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Surgical reconstruction for fibular hemimelia.腓骨半侧发育不全的手术重建
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Lengthening in Congenital Femoral Deficiency: A Comparison of Circular External Fixation and a Motorized Intramedullary Nail.先天性股骨缺损的延长治疗:环形外固定与电动髓内钉的比较
J Bone Joint Surg Am. 2015 Sep 2;97(17):1432-40. doi: 10.2106/JBJS.N.00932.
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Simultaneous femoral and tibial lengthening in combined congenital complete fibular hemimelia and congenital short femur using Ilizarov ring external fixator.使用伊里扎洛夫环形外固定器对合并先天性完全性腓骨半肢畸形和先天性股骨短小进行同期股骨和胫骨延长术。
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Internal lengthening device for congenital femoral deficiency and fibular hemimelia.用于先天性股骨缺损和腓骨半侧发育不全的内延长装置。
Clin Orthop Relat Res. 2014 Dec;472(12):3860-8. doi: 10.1007/s11999-014-3572-3.
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J Bone Joint Surg Am. 2011 Jun 15;93(12):1144-51. doi: 10.2106/JBJS.J.00683.
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