Ilizorov technique in the treatment of limb contracture secondary to venous malformation
10.3760/cma.j.cn114453-20200304-00105
- VernacularTitle:Ilizarov技术治疗静脉畸形继发肢体挛缩
- Author:
Youchen XIA
1
;
Jianxun MA
;
Jiancheng ZANG
;
Xin ZHANG
;
Xinwei WANG
;
Zhenmin ZHAO
;
Sihe QIN
Author Information
1. 北京大学第三医院成形外科 100191
- Keywords:
Ilizarov technique;
Venous malformation;
Limb contracture;
Functional reconstruction
- From:
Chinese Journal of Plastic Surgery
2020;36(4):403-408
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To summarize the effect of Ilizarov technique in the treatment of limb contracture secondary to venous malformation.Methods:From January 2015 to June 2019, nine cases of limb contracture secondary to venous malformation, from Peking University Third Hospital and Rehabilitation Hospital of the National Research Center for Rehabilitation Technical Aids, were treated with Ilizarov technique, including four males and five females, aged 9 to 35 years, with an average age of 19.5 years. There were two cases of flexion of the hip and knee, four cases of flexion of the knee, two cases of flexion of the knee with talipes equinovarus, and one case of flexion of the wrist. Ilizarov technique was used for treatment after the evaluation of the multi-disciplinary treatment team. According to the safe zone of wire fixation and the limbs deformities character, the preassembled external fixator was connected to the relevant deformed limbs, and the tendons were released at the same time. Limbs deformities were corrected gradually by adjusting the external fixator. For patients with severe pain or rapid development of the affected area, it is appropriate to perform ultrasound-guided injection of lauromacrogol and physical therapy to promote the function of joints.Results:During the treatment, there were no neurovascular injury, peripheral blood circulation disorder, infection event of injection channel and incision, or deep vein thrombosis. The follow-up were 6 to 40 months, with an average of 30.5 months. All the contractures of the hip and knee joints, most of the deformities of the wrist and ankle joints were corrected and the pain disappeared.Conclusions:Ilizarov technique is a minimally invasive, safe and effective method for the treatment of limb contracture secondary to venous malformation.
