Ilizarov肢体延长技术治疗桡骨远端损伤骨骺早闭短缩畸形

发布时间：2018-10-17 17:59

【摘要】：[目的]探讨Ilizarov肢体延长技术治疗桡骨远端损伤骨骺早闭短缩畸形的临床疗效。[方法]2011年7月~2014年10月对7例桡骨远端损伤骨骺早闭短缩畸形患者应用Ilizarov肢体延长技术治疗,将组装好的外固定支架按照Ilizarov技术理念及穿针原则安装在前臂设定位置,桡骨截骨后通过旋转螺母延长矫正桡骨远端短缩畸形,恢复桡骨高度及下尺桡关节和掌倾角与尺偏角,然后固定前臂中立位8~12周,前臂及腕关节康复训练。[结果]7例患者术后随访时间18~36个月,平均26个月。拆除外固定后腕关节功能依据Lidstrom评分标准评定:优5例,良1例,可1例。[结论]Ilizarov肢体延长技术是治疗桡骨远端骨骺损伤早闭后短缩畸形的有效手段。
[Abstract]:Objective: to investigate the clinical effect of Ilizarov limb lengthening technique in the treatment of epiphyseal premature closure and shortening deformity of distal radius injury. [methods] from July 2011 to October 2014, 7 patients with distal radius injury epiphyseal premature closure and shortening deformity were treated with Ilizarov limb lengthening technique. The assembled external fixator was installed in the forearm setting position according to the principle of Ilizarov technique and needle puncture. After radial osteotomy, the distal radius shortening deformity was corrected by rotation nut lengthening, and the radial height, the angle of the lower ulnar and radial joint and the angle of palmar inclination and ulnar deviation were restored, and then the forearm neutral position was fixed for 812 weeks, and the forearm and wrist were rehabilitated. [results] 7 patients were followed up for 18 ~ 36 months (mean 26 months). After removal of external fixation, wrist function was assessed according to Lidstrom score: excellent in 5 cases, good in 1 case, fair in 1 case. [conclusion] Ilizarov lengthening technique is an effective method for the treatment of short contraction deformity after early closure of epiphyseal injury of distal radius.
【作者单位】：徐州仁慈医院骨科;民政部国家康复辅具研究中心附属康复医院;首都医科大学附属北京康复医院;北京垂杨柳医院;
【分类号】：R687.3

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