Ilizarov Method for Acute Paediatric Tibial Fractures.

IF 1 Q3 ORTHOPEDICS

Strategies in Trauma and Limb Reconstruction Pub Date : 2021-01-01 DOI:10.5005/jp-journals-10080-1517

Juergen Messner, Christopher P Prior, Bethan Pincher, Simon Britten, Paul J Harwood, Patrick Al Foster

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引用次数: 0

Abstract

Aim and background: A systemic method for the application of Ilizarov fixators and on-table fracture reduction is described in this instructional article. This technique has been developed from the unit's practice in adult patients. The indications, underlying principles and rationale for the method are also discussed.

Technique: The basic concept involves the construction of a series of concentric, colinear rings aligned with the mechanical axis of the limb. An orthogonal ring block is initially placed on the proximal segment and extended distally. Wire to ring reduction techniques are used resulting in the contact, alignment and stability required for early full weight-bearing, free movement of knee and ankle, and subsequent healing.

Conclusion and clinical significance: Our step-by-step guide takes the reader through a systematic approach to surgery along with tips and tricks on how to achieve reduction and avoid the common pitfalls. With this method, it is possible to achieve an on-table reduction and correction of a multiplanar deformity without the use of expensive hexapod technology. This may allow less experienced users reproduce the technique with a shorter learning curve.

How to cite this article: Messner J, Prior CP, Pincher B et al. Ilizarov Method for Acute Paediatric Tibial Fractures. Strategies Trauma Limb Reconstr 2021;16(1):46-52.

Abstract Image

查看原文本刊更多论文

Ilizarov 法治疗急性儿科胫骨骨折。

目的和背景：本指导性文章介绍了应用 Ilizarov 固定器和台上骨折复位的系统方法。这项技术是在该科室对成人患者的实践基础上发展起来的。文章还讨论了该方法的适应症、基本原则和原理：基本概念包括构建一系列与肢体机械轴线对齐的同心圆环。首先在肢体近端放置一个正交环块，然后向远端延伸。采用线对环缩减技术，实现早期完全负重、膝关节和踝关节自由活动以及后续愈合所需的接触、对齐和稳定性：我们的循序渐进指南为读者提供了系统的手术方法，以及如何实现缩窄和避免常见误区的技巧和窍门。使用这种方法，无需使用昂贵的六脚架技术，就能在台上完成缩窄并矫正多平面畸形。这可能会让经验不足的使用者以更短的学习曲线重现这项技术：Messner J, Prior CP, Pincher B et al.Strategies Trauma Limb Reconstr 2021;16(1):46-52.

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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.