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引用次数: 1
Abstract
Aim: To describe the novel hybrid fixation technique for paediatric femoral supracondylar fracture during circular external fixation of the lower limb.
Background: The Ilizarov external fixator is commonly used for various orthopaedic conditions. Difficulties associated with external fixation have previously been described. A fall while using a circular external fixator can cause ipsilateral fracture. Such fractures are ideally treated conservatively, but it is difficult to fix the frame itself. No study has reported the treatment of paediatric femoral supracondylar fracture during circular external fixation. Herein, we describe a novel hybrid fixation technique that was successfully used to treat paediatric femoral supracondylar fracture in three paediatric patients with circular external fixators.
Technique: The fracture was manually manipulated and reduced by slight hyperextension of the lower extremity under general anaesthesia. After confirmation of good reduction, a stockinette, a cast padding, and a thin core cast were applied to the ipsilateral thigh. The hinge parts were attached to the medial and lateral sides of the proximal ring. The rods were connected to the medial and lateral hinges, and the half ring was connected to the ventral side of the proximal end. Under fluoroscopic confirmation, the thin core cast of the thigh and rods were connected by cast rolled in a figure-of-eight manner. The hinges were locked with the knee joint slightly flexed.
Conclusion: The minimally invasive hybrid fixation technique enables conservative treatment of paediatric femoral supracondylar fracture during circular external fixation of the lower limb with no complications, and early exercise and recovery.
Clinical significance: This novel hybrid fixation technique will be an effective method for paediatric femoral supracondylar fracture in patients with a circular external fixator.
How to cite this article: Oka Y, Kim W-C, Yoshida T, et al. Hybrid Fixation for Paediatric Femoral Supracondylar Fracture during Circular External Fixation of the Lower Limb. Strategies Trauma Limb Reconstr 2020;15(3):179-183.
目的:介绍一种新型混合固定技术治疗小儿股骨髁上骨折在下肢环形外固定术中的应用。背景:Ilizarov外固定架通常用于各种骨科疾病。外固定相关的困难以前已经有过描述。使用圆形外固定架时跌倒可导致同侧骨折。这种骨折的理想治疗方法是保守，但很难固定框架本身。没有研究报道在环形外固定期间治疗小儿股骨髁上骨折。在此，我们描述了一种新型的混合固定技术，成功地用于治疗三名儿童股骨髁上骨折患者的圆形外固定架。手法:在全身麻醉下，通过下肢轻微过伸复位骨折。确认复位良好后，对同侧大腿应用短袜、石膏填充物和薄芯石膏。铰链部分附着在近端环的内侧和外侧。杆连接到内侧和外侧铰链，半环连接到近端腹侧。在透视下确认，大腿和棒的薄芯铸件以8字形的方式由铸件轧制连接。铰链锁定，膝关节轻微弯曲。结论:微创混合固定技术可以保守治疗小儿股骨髁上骨折，在下肢环形外固定术中无并发症，早期运动恢复。临床意义:这种新型的混合固定技术将是治疗小儿股骨髁上骨折的圆形外固定架的有效方法。本文出处:Oka Y, Kim W-C, Yoshida T，等。混合固定治疗小儿股骨髁上骨折在下肢环形外固定术中的应用。创伤肢体重建2020;15(3):179-183。
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.
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