頁籤選單縮合
題 名 | Limb Lengthening in Patients with Fibular Hemimelia |
---|---|
作 者 | 李先誠; 施國正; 黃世傑; | 書刊名 | 中華民國骨科醫學會雜誌 |
卷 期 | 16:1 1999.03[民88.03] |
頁 次 | 頁39-44 |
分類號 | 416.26 |
關鍵詞 | Fibular hemimelia; Lengthening; Ilizarov technique; |
語 文 | 英文(English) |
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. |
本系統中英文摘要資訊取自各篇刊載內容。