Application of Ilizarov technology combined with closed minimally invasive osteotomy in the treatment of complex crus malformations
10.11659/jjssx.04E017079
- VernacularTitle:微创闭合截骨Ilizarov外固定延长技术治疗复杂小腿畸形疗效分析
- Author:
Wen-Tao ZHANG
1
;
Ning DUAN
;
Xun CHEN
;
Yang LIU
;
Tao SONG
;
Zi-Rui YU
;
Xue-Hai OU
Author Information
1. 西安市红会医院骨显微修复外科
- Keywords:
Ilizarov technique;
crus malformations;
closed minimally invasive osteotomy;
tissue distraction
- From:Journal of Regional Anatomy and Operative Surgery
2017;26(11):841-844
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the clinical effects of Ilizarov technology combined with closed minimally invasive osteotomy and slow tissue distraction in the treatment of complex crus malformations.Methods From June 2006 to February 2016,83 cases suffering complex crus malformations in our department were treated by Ilizarov technique combined with closed minimally invasive osteotomy and slow tissue distraction.Of whom,39 cases were traumatic bone defect,36 cases were bone osteomyelitis,8 cases were congenital pseudarthrosis of tibia.Bone defect ranged from 6 to 11 cm,with an average of 8 cm.All cases were conducted by segmental resection of bone lesions combined with closed minimally invasive osteotomy and Ilizarov technique.The functional evaluation was carried out according to the Paley evaluation criterion.Bone healing time,duration of external fixation,postoperative limb lengthening and limb function recovery were recorded.Results Eighty-three patients were followed up for 8 to 36 months,with an average of 16 months.All patients' crus malformations were completely corrected.The external fixation time was from 6 to 18 months,with an average of 10.3 months;the length of the limb lengthening was from 4.5 to 9 cm,with an average of 6.3 cm;and bone healing time was from 6 to 15 months,with an average of 9.8 months.According to the Paley evaluation criterion,53 cases were excellent,24 cases were good,6 cases were general.Conclusion Ilizarov technology combined with closed minimally invasive osteotomy and slow tissue distraction a reliable method to correct the complex deformity of the tibia and fibula.
