頁籤選單縮合
題名 | Limb Lengthening in Patients with Fibular Hemimelia= |
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作者 | 李先誠; 施國正; 黃世傑; Lee, Shen-chung; Shih, Kuo-cheng; Huang, Shier-chieg; |
期刊 | 中華民國骨科醫學會雜誌 |
出版日期 | 19990300 |
卷期 | 16:1 1999.03[民88.03] |
頁次 | 頁39-44 |
分類號 | 416.26 |
語文 | eng |
關鍵詞 | Fibular hemimelia; Lengthening; Ilizarov technique; |
英文摘要 | We reviewed the result of 10 patients (10 limb segments) with fibular hemimelia between July 1989 and June 1998 treated by limb lengthening and corrective procedures with Ilizarov technique. There were 7 boys and 3 girls, all with associated anomalies in the lower limbs. The average age at operation was 11 years 10 months (2 years 9 months to 18 years 8 months). One case was type Ia, two were type Ib, and seven were type II, according to Achterman and Kalamchi classification. The average preoperative leg length discrepancy was 9.5 cm (range: 5.6 to 15.2 cm). The mean follow-up time was 18.2months. The evaluations included clinical, functional outcome, radiological results, and patient’s satisfaction. The average length gain was 4 cm (2 to 6 cm) in femur and 6.5 cm (4 to 10 cm) in tibia. The lengthening index was 68 days/cm (29 to 143 days/cm) in femur and 45 days/cm (20 to 62 days/cm) in tibia. The complications included pain, flexion contracture of the knee, temporary decrease of foot sensa-tion, pin tract infection, incomplete corticortomy, and callus bending of the tibia. Satisfactory results were obtained in 9 cases, unsatisfactory result in one at the least follow-up. This form of treatment is an alternative to the more tradi-tional Syme’s amputation. Although there were many complications, most patients gained satisfactory functional and cosmetic outcome. |
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