Efficacy of Temporary Intentional Leg Shortening and Deformation for Treatment of Massive Bone and Soft Tissue Defects in Three Patients.

IF 1 Q3 ORTHOPEDICS

Strategies in Trauma and Limb Reconstruction Pub Date : 2022-09-01 DOI:10.5005/jp-journals-10080-1567

Shuhei Ugaji, Hidenori Matsubara, Takao Aikawa, Hiroyuki Tsuchiya

{"title":"Efficacy of Temporary Intentional Leg Shortening and Deformation for Treatment of Massive Bone and Soft Tissue Defects in Three Patients.","authors":"Shuhei Ugaji, Hidenori Matsubara, Takao Aikawa, Hiroyuki Tsuchiya","doi":"10.5005/jp-journals-10080-1567","DOIUrl":null,"url":null,"abstract":"Aim: This study describes the intentional deformation and shortening of a limb using external fixation (EF) in three patients with post-traumatic injury tibial defects and to assess the outcomes.Case description: Three patients with infected non-unions and massive bone and soft tissue defects who were treated with temporary intentional leg shortening and deformation using a Taylor Spatial Frame (TSF) EF were retrospectively reviewed. The alignment was restored by gradual deformity correction and lengthening after a 2-week interval. No additional surgical intervention was required for soft tissue reconstruction after primary skin closure. Skin closure and good bone alignment were achieved in all patients. The functional outcomes and bone outcomes were evaluated for all cases according to the Paley criteria modified by the Association for the Study and Application of Methods of Ilizarov. All patients showed excellent bone outcomes. Two patients achieved excellent functional outcomes and one had a good outcome. The patient with a good outcome was unable to descend the stairs comfortably.Conclusion: This technique is suitable for treating massive bone and soft tissue defects and should be considered as a treatment option.How to cite this article: Ugaji S, Matsubara H, Aikawa T, et al. Efficacy of Temporary Intentional Leg Shortening and Deformation for Treatment of Massive Bone and Soft Tissue Defects in Three Patients. Strategies Trauma Limb Reconstr 2022;17(3):195-201.","PeriodicalId":21979,"journal":{"name":"Strategies in Trauma and Limb Reconstruction","volume":"17 3","pages":"195-201"},"PeriodicalIF":1.0000,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/74/0f/stlr-17-195.PMC9886035.pdf","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Strategies in Trauma and Limb Reconstruction","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.5005/jp-journals-10080-1567","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"ORTHOPEDICS","Score":null,"Total":0}

引用次数: 0

Abstract

Aim: This study describes the intentional deformation and shortening of a limb using external fixation (EF) in three patients with post-traumatic injury tibial defects and to assess the outcomes.

Case description: Three patients with infected non-unions and massive bone and soft tissue defects who were treated with temporary intentional leg shortening and deformation using a Taylor Spatial Frame (TSF) EF were retrospectively reviewed. The alignment was restored by gradual deformity correction and lengthening after a 2-week interval. No additional surgical intervention was required for soft tissue reconstruction after primary skin closure. Skin closure and good bone alignment were achieved in all patients. The functional outcomes and bone outcomes were evaluated for all cases according to the Paley criteria modified by the Association for the Study and Application of Methods of Ilizarov. All patients showed excellent bone outcomes. Two patients achieved excellent functional outcomes and one had a good outcome. The patient with a good outcome was unable to descend the stairs comfortably.

Conclusion: This technique is suitable for treating massive bone and soft tissue defects and should be considered as a treatment option.

How to cite this article: Ugaji S, Matsubara H, Aikawa T, et al. Efficacy of Temporary Intentional Leg Shortening and Deformation for Treatment of Massive Bone and Soft Tissue Defects in Three Patients. Strategies Trauma Limb Reconstr 2022;17(3):195-201.

Abstract Image

查看原文本刊更多论文

临时有意缩短和变形腿治疗3例大块骨和软组织缺损的疗效。

目的：本研究描述了三名创伤后胫骨缺损患者使用外固定器有意使肢体变形和缩短的情况，并评估其结果。病例描述：回顾性分析了三名感染性骨不连和巨大骨和软组织缺陷的患者，他们使用Taylor空间框架（TSF）EF进行了临时有意缩短和变形腿部的治疗。间隔2周后，通过逐渐畸形矫正和延长来恢复对齐。初次皮肤闭合后的软组织重建不需要额外的手术干预。所有患者均实现了皮肤闭合和良好的骨对齐。根据Ilizarov方法研究与应用协会修改的Paley标准，对所有病例的功能结果和骨结果进行评估。所有患者均表现出良好的骨疗效。两名患者获得了良好的功能结果，一名患者获得良好的结果。结果良好的病人无法舒适地下楼梯。结论：该技术适用于治疗大块骨和软组织缺损，应作为一种治疗选择。如何引用这篇文章：Ugaji S，Matsubara H，Aikawa T等。临时有意缩短和变形腿治疗三例大面积骨和软组织缺损的疗效。创伤肢体康复策略2022；17（3）：195-201。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.