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[Treatment with fully implantable intramedullary distraction nails for limb lengthening-a paradigm shift].

作者信息

Baumgart Rainer, Lenze Ulrich

机构信息

ZEM - Germany, Zentrum für Extremitätenchirurgie München, Nymphenburger Str. 1, 80335, München, Deutschland.

出版信息

Orthopadie (Heidelb). 2023 Sep;52(9):699-709. doi: 10.1007/s00132-023-04418-x. Epub 2023 Aug 24.

DOI:10.1007/s00132-023-04418-x
PMID:37620678
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10477088/
Abstract

More than almost any other implant, fully implantable intramedullary distraction nails have changed corrective and reconstructive bone surgery. Based on the fundamentals of callus distraction, these new apparatus developments with their novel planning strategies and minimally invasive surgical techniques have opened up a wide range of indications and made the treatment reproducible and safe. The prerequisite, however, is that standardized procedures are adhered to, which concern both the preparation for the surgery, the surgery itself and the subsequent distraction treatment. Treatment with fully implantable intramedullary distraction nails should be performed at specialized centers, so that the paradigm shift in corrective and reconstructive limb surgery, which is already recognizable, will open the door for further developments.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/df068b126318/132_2023_4418_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/f924e7e2688a/132_2023_4418_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/fd1ed46edc32/132_2023_4418_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/7e66272678d4/132_2023_4418_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/d6cec3274f8d/132_2023_4418_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/c4ff2bbe7c8f/132_2023_4418_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/7f3a1cec4add/132_2023_4418_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/92971cdfdfbd/132_2023_4418_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/8662292d91ba/132_2023_4418_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/df068b126318/132_2023_4418_Fig9_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/f924e7e2688a/132_2023_4418_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/fd1ed46edc32/132_2023_4418_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/7e66272678d4/132_2023_4418_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/d6cec3274f8d/132_2023_4418_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/c4ff2bbe7c8f/132_2023_4418_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/7f3a1cec4add/132_2023_4418_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/92971cdfdfbd/132_2023_4418_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/8662292d91ba/132_2023_4418_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae77/10477088/df068b126318/132_2023_4418_Fig9_HTML.jpg

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本文引用的文献

1
The reverse planning method for lengthening of the lower limb using a straight intramedullary nail with or without deformity correction. A new method.使用带或不带畸形矫正的直型髓内钉延长下肢的逆向规划方法。一种新方法。
Oper Orthop Traumatol. 2009 Jun;21(2):221-33. doi: 10.1007/s00064-009-1709-4.
2
Expandable endoprostheses in malignant bone tumors in children: indications and limitations.儿童恶性骨肿瘤中的可扩张内假体:适应证与局限性
Recent Results Cancer Res. 2009;179:59-73. doi: 10.1007/978-3-540-77960-5_6.
3
Reduction of high dislocation of the hip using a distraction nail before arthroplasty.
在关节成形术前使用撑开钉复位髋关节高位脱位。
J Bone Joint Surg Br. 2005 Apr;87(4):565-7. doi: 10.1302/0301-620X.87B4.16080.
4
The intramedullary skeletal kinetic distractor (ISKD): first clinical results of a new intramedullary nail for lengthening of the femur and tibia.髓内骨骼动力撑开器(ISKD):一种用于股骨和胫骨延长的新型髓内钉的首次临床结果
Injury. 2001 Dec;32 Suppl 4:SD129-39. doi: 10.1016/s0020-1383(01)00116-4.
5
The principles of the Ilizarov method.伊里扎洛夫方法的原则。
Bull Hosp Jt Dis Orthop Inst. 1988 Spring;48(1):1-11.