胫骨精钉再生畸形。

IF 1 Q3 ORTHOPEDICS
Sally Elizabeth Wright, William David Goodier, Peter Calder
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引用次数: 7

摘要

牵张成骨延长肢体是一种公认的骨科手术技术。Precice髓内延长系统是肢体延长的最新创新。早期的结果对股骨延长是有利的,但对胫骨延长的结果报道很少。本研究的目的是介绍我们的胫骨精密延长的早期结果,以及我们的手术技术的逐步发展。材料和方法:对17例连续胫骨延长的病例进行前瞻性分析。记录愈合指数、达到的长度、活动范围和并发症。最初的病例遵循推荐的手术技术。延长过程中进行性再生畸形需要改变手术方法。结果:无失访病例。所有的指甲都按预期的速度变长了。无感染并发症或再生不良。在以后的病例中,通过在钉入时定位Poller阻断螺钉来防止进行性外翻和前凸。结论:胫骨精密钉获得长度,再生形成良好。推荐的技术不足以控制在延长过程中下肢肌肉室的变形力。因此,我们建议在改进的技术中增加多个阻断螺钉。如何引用这篇文章:Wright SE, Goodier WD, Calder P.胫骨精确钉再生畸形。创伤肢体重建,2020;15(2):98-105。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Regenerate Deformity with the Precice Tibial Nail.

Regenerate Deformity with the Precice Tibial Nail.

Regenerate Deformity with the Precice Tibial Nail.

Regenerate Deformity with the Precice Tibial Nail.

Limb lengthening by distraction osteogenesis is an accepted orthopaedic surgical technique. The Precice intramedullary lengthening system is the most recent innovation in limb lengthening. Early results have been favourable in femoral lengthening but there is little reported on the outcome in tibial lengthening. The aim of this study is to present our early results of Precice tibial lengthening, and the stepwise evolution of our surgical technique.

Materials and methods: A case series of 17 consecutive tibial lengthenings were prospectively analysed. Healing index, length achieved, range of motion, and complications were recorded. The initial cases followed the recommended surgical technique. Progressive regenerate deformity during lengthening required changes to the surgical method.

Results: No cases were lost to follow-up. All the nails lengthened at the desired rate. There were no complications of infection or poor regenerate formation. Progressive valgus and procurvatum was prevented in later cases by the positioning of Poller blocking screws at the time of nail insertion.

Conclusion: The tibial Precice nail is successful in obtaining length and good regenerate formation. The recommended technique was insufficient to control the deforming forces from the lower limb muscle compartments during lengthening. We therefore recommend the addition of multiple blocking screws in an amended technique.

How to cite this article: Wright SE, Goodier WD, Calder P. Regenerate Deformity with the Precice Tibial Nail. Strategies Trauma Limb Reconstr 2020;15(2):98-105.

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来源期刊
Strategies in Trauma and Limb Reconstruction
Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine
CiteScore
1.50
自引率
0.00%
发文量
31
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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