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采用动力加压钢板和伊利扎罗夫器械治疗被忽视的双侧膝外翻畸形:病例报告

Neglected bilateral geno valgum deformity managed with a dynamic compression plate and the ilizarov construct: a case report.

作者信息

Ibrahim Yasin B, Mohamed Abdullahi Y, Ibrahim Hassan S, Cicek Engin I, Mohamed Abdulkhalek H, May Hasan

机构信息

Department of Orthopedics and Traumatology, Somalia Mogadishu Turkey Recep Tayyip Erdogan Training and Research Hospital, Mogadishu, Somalia.

出版信息

Ann Med Surg (Lond). 2023 Apr 3;85(5):1911-1914. doi: 10.1097/MS9.0000000000000405. eCollection 2023 May.

Abstract

UNLABELLED

Deformities of the lower limb are common in childhood; however, they are mainly variations of the natural growth pattern. The rare case showed up late with a genu valgum deformity centered on both tibias and a closed physis.

CASE PRESENTATION

A 20-year-old male has suffered from bilateral knee pain and genu valgum deformity centered at both tibias with a closed physis. Management was challenging, requiring multiple surgeries and high patient cooperation. The patient underwent two surgeries: a right-sided osteotomy and Ilizarov fixation with gradual deformity correction. In the second operation, a proximal tibia osteotomy of the left side was executed with acute correction of the deformity and open reduction and internal fixation of the tibia with a medial tibial dynamic compression plate. Ultimately, the authors successfully corrected both leg deformities.

CONCLUSION

This results reflect the efficacy of dynamic compression plates and Ilizarov for correcting genu valgum deformity in patients with closed epiphyseal plates.

摘要

未标注

下肢畸形在儿童时期很常见;然而,它们主要是自然生长模式的变异。罕见的病例出现较晚,以双侧胫骨为中心的膝外翻畸形且骨骺闭合。

病例介绍

一名20岁男性患有双侧膝关节疼痛以及以双侧胫骨为中心的膝外翻畸形,骨骺闭合。治疗具有挑战性,需要多次手术以及患者的高度配合。患者接受了两次手术:一次右侧截骨术和Ilizarov固定术并逐渐矫正畸形。在第二次手术中,对左侧胫骨近端进行截骨术并急性矫正畸形,然后用内侧胫骨动力加压钢板对胫骨进行切开复位内固定。最终,作者成功矫正了双腿畸形。

结论

这些结果反映了动力加压钢板和Ilizarov技术在矫正骨骺闭合患者膝外翻畸形方面的疗效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8f1a/10205354/1f0e3fe91432/ms9-85-1911-g001.jpg

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