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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.

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/e8daea8c7281/fped-10-952591-g0001.jpg

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