查詢結果分析
來源資料
頁籤選單縮合
題名 | Treatment of Congenital Pseudarthrosis of the Tibia with the Ilizarov Method=以伊利沙諾夫技術治療先天性脛骨假性關節症之經驗 |
---|---|
作者 | 黃世傑; 葉建文; Huang, Shier-chieg; Yip, Kin-man; |
期刊 | 臺灣醫學會雜誌 |
出版日期 | 19970500 |
卷期 | 96:5 1997.05[民86.05] |
頁次 | 頁359-365 |
分類號 | 416.61 |
語文 | eng |
關鍵詞 | 伊利沙諾夫技術; 先天性脛骨假性關節症; Congenital pseudarthrosis; Tibia; Ilizarov technique; |
英文摘要 | Congenital pseudarthrosis of the tibia (CPT) is a difficult orthopedic problem. Many modalities of treatment have been used but none provide comprehensive treatment with highly satisfactory results. We reviewed the surgical management and results of eight consecutive patients with CPT treated with the Ilizarov technique for nonunion, angulation, leg length discrepancy and valgus ankle between 1988 and 1992. The median age at the time of Ilizarov treatment was 1.8 years (range, 0.4-20.1 yr) . Primary union at the pseudarthrosis site was achieved in five of the eight patients. After a median follow-up period of 5.2 years (range, 3.0-6.2 yr), final union at the pseudarthrosis site was achieved in seven of the eight patients (union rate, 87.5%). However, nonunion persisted at the distraction site in one patien. In the six patients who achieved union and functional recovery, the median number of total surgeries was four; theer were two residual deformities. Leg length discrepancy was corrected in these six patients to less than 1.7 cm. Six out of the eight patients were satisfied with the results. In general, the treatment course was lengthy with numerous complications, especially in young children. The Ilizarov technique, with its rng design, simultaneously addresses several problems associated with CPT, and may provide a comprehensive treatment for CPT with promising results, Combination treatment with other methods is necessary. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。