Samara Eleftheria, Zambelli Pierre-Yves
Unité d'orthopédie pédiatrique, Hôpital des enfants, Centre hospitalier universitaire vaudois, 1004 Lausanne.
Rev Med Suisse. 2023 Feb 1;19(812):234-238. doi: 10.53738/REVMED.2023.19.812.234.
Intramedullary lengthening nails for lower limb reconstruction in children are a rapidly growing field and represent an alternative to external fixators. Today, two types of intramedullary lengthening nails are used: motorized (FITBONE) and magnetically driven (PRECISE) bone lengthening nails. Indications for limb lengthening nails are: 1) Significant lower limb length discrepancy; 2) Short stature and deformities due to musculoskeletal or dysplastic syndromes; 3) Constitutional short stature. Intramedullary lengthening surgery is challenging and represents a safe and reliable mode of treatment in patients under 18 years of age with an excellent reported outcome.
用于儿童下肢重建的髓内延长钉是一个快速发展的领域,是外固定器的一种替代方案。目前,使用两种类型的髓内延长钉:电动(FITBONE)和磁驱动(PRECISE)骨延长钉。肢体延长钉的适应证为:1)下肢长度明显不等;2)因肌肉骨骼或发育异常综合征导致的身材矮小和畸形;3)体质性身材矮小。髓内延长手术具有挑战性,对于18岁以下患者而言是一种安全可靠的治疗方式,且报道的疗效良好。