Cao Shu,Fang Ke,Xiao Sheng,et al.Ilizarov technique for the treatment of forearm deformities in hereditary multiple exostose[J].Journal of Clinical Pediatric Surgery,,20():1059-1063.[doi:10.12260/lcxewkzz.2021.11.012]
Ilizarov technique for the treatment of forearm deformities in hereditary multiple exostose
- Keywords:
- Ulna; External Fixators; Surgical Procedures; Operative; Child
- CLC:
- R726.8;R683.416
- Abstract:
- Objective To explore the application of Ilizarov external fixation forearm deformities in hereditary multiple exostoses (HME). Methods From February 2014 to February 2017, 17 children with forearm deformities in HME underwent corrective osteotomy plus gradual lengthening of ulna by Ilizarov external fixation, corrective osteotomy of radius and excision of exostoses. The surgical outcomes and functional improvements of forearm were assessed via regular follow-ups and radiography. Results During an average follow-up period of 30 months, the average lengthening of ulna was 26.99 mm. One case of pin-track infection was properly controlled by pin care and oral antibiotics. Fracture occurred in one child after frame removal and healed after 4-week casting. And ulnar shortening re-occurred in another child at the last follow-up. The radiographic parameters of relative ulnar shortening (US), radial articular angle (RAA) and carpal slip (CS) improved. The postoperative functions of wrist, elbow and forearm all improved. Conclusion The treatment of forearm deformities in HME using the Ilizarov technique is efficacious during an early stage.
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Memo
收稿日期:2020-05-20。
基金项目:湖南省卫生健康委2020年度科研计划课题项目（编号：20200269）
通讯作者:方科,Email:714677831@qq.com