电邮这篇文章 Treatment of congenital long-bone deformities in children using the consequtive application of guided growth and external fixation: preliminary report
- 作者: Vilensky V.A.1, Zakharjan E.A.1, Pozdeev A.A.1, Zubairov T.F.1, Pozdeev A.P.1
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隶属关系:
- The Turner Scientific Research Institute for Children’s Orthopedics
- 期: 卷 6, 编号 3 (2018)
- 页面: 12-24
- 栏目: Original papers
- URL: https://bakhtiniada.ru/turner/article/view/10223
- DOI: https://doi.org/10.17816/PTORS6312-24
- ID: 10223
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详细
Aim. This study aimed to estimate the results of congenital long bone deformities using the consecutive application of guided growth and external fixation.
Materials and methods. We performed a retrospective analysis of the treatment results of 38 children with congenital deformities of long bones. Group 1 consisted of 17 children who underwent consecutive application of two methods: guided growth and external fixation. Group 2 (control group) consisted of 21 children who underwent isolated lengthening and deformity correction by external fixation.
Results. There were 14 complications in group 1 and 25 complications in group 2. Moreover, only seven cases in group 1 had complications requiring surgical treatment, whereas 17 cases in group 2 required operative treatment for complications. There was a relatively low level of refractures: zero cases in group 1 and three cases in group 2. The most common complication was a recurrence of deformity associated with the continuous growth of children: seven cases in group 1 and eight cases in group 2. However, no recurrence of the torsion component of deformity was observed in any group 1 cases, and repeated guided growth could be performed in the six cases of growing children.
Conclusion. The consecutive use of external fixation and guided growth to treat congenital deformities of the lower limbs is a promising direction for pediatric orthopedics because it reduces the incidence of complications. The repeated use of guided growth, because of its minimal invasiveness, is the most effective solution for the recurrence of deformity in a growing child.
作者简介
Victor Vilensky
The Turner Scientific Research Institute for Children’s Orthopedics
编辑信件的主要联系方式.
Email: vavilensky@mail.ru
ORCID iD: 0000-0002-2702-3021
MD, PhD, Senior Researcher of the Department of Bone Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Ekaterina Zakharjan
The Turner Scientific Research Institute for Children’s Orthopedics
Email: zax-2008@mail.ru
MD, PhD, Researcher of the Department of Bone Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Andrej Pozdeev
The Turner Scientific Research Institute for Children’s Orthopedics
Email: aapozdeev@gmail.com
MD, PhD, Orthopedic Surgeon of the Department of Bone Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Timur Zubairov
The Turner Scientific Research Institute for Children’s Orthopedics
Email: ztaime@mail.ru
MD, PhD, Researcher of the Department of Bone Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603Alexander Pozdeev
The Turner Scientific Research Institute for Children’s Orthopedics
Email: pozdeev@mail.ru
MD, PhD, Professor, Chief Researcher of the Department of Bone Pathology
俄罗斯联邦, 64, Parkovaya str., Saint-Petersburg, Pushkin, 196603参考
- Birch JG, Samchukov ML. Use of the Ilizarov method to correct lower limb deformities in children and adolescents. J Am Acad Orthop Surg. 2004;12(3):144-154.
- Gubin AV, Borzunov DY, Malkova TA. The Ilizarov paradigm: thirty years with the Ilizarov method, current concerns and future research. Int Orthop. 2013;37(8):1533-1539. doi: 10.1007/s00264-013-1935-0.
- Соломин Л.Н. Основы чрескостного остеосинтеза. Т. 3. Частные вопросы – 2. – М.: БИНОМ, 2015. [Solomin LN. Osnovy chreskostnogo osteosinteza. Vol. 3. Chastnye voprosy – 2. Moscow: BINOM; 2015. (In Russ.)]
- Илизаров Г.А., Девятов А.А. Оперативное удлинение голени с одновременным устранением деформаций // Ортопедия, травматология и протезирование. – 1969. – № 3. – С. 32–37. [Ilizarov GA, Devyatov AA. Operativnoe udlinenie goleni s odnovremennym ustraneniem deformatsiy. Orthopaedics, Traumatology and Prosthetics. 1969;(3):32-37. (In Russ.)]
- Попков А.В., Аранович А.М., Попков Д.А. Особенности оперативного лечения детей с врожденной гемимелией малоберцовой кости // Гений ортопедии. – 2013. – № 1. – С. 55–60. [Popkov AV, Aranovich AM, Popkov DA. Features of surgical treatment of children with congenital fibular hemimelia. Genii ortopedii. 2013;(1):55-60. (In Russ.)]
- Соломин Л.Н., Щепкина Е.А., Виленский В.А., и др. Коррекция деформаций бедренной кости по Илизарову и основанным на компьютерной навигации аппаратом «Орто-СУВ» // Травматология и ортопедия России. – 2011. – № 3. – С. 32–39. [Solomin LN, Shсhepkina EA, Vilenskiy VA, et al. Correction of femur deformities by Ilizarov method and by apparatus “Ortho-SUV” based on computer navigation. Travmatologiia i ortopediia Rossii. 2011;(3):32-39. (In Russ.)]
- Horn J, Steen H, Huhnstock S, et al. Limb lengthening and deformity correction of congenital and acquired deformities in children using the Taylor Spatial Frame. Acta Orthop. 2017;88(3):334-340. doi: 10.1080/17453674.2017.1295706.
- Tsibidakis H, Kanellopoulos AD, Sakellariou VI, et al. The role of Taylor Spatial Frame for the treatment of acquired and congenital tibial deformities in children. Acta Orthop Belg. 2014;80(3):419-425.
- Paley D. Principles of deformity correction. New York: Springer; 2005.
- Stevens PM. Guided growth for angular correction: a preliminary series using a tension band plate. J Pediatr Orthop. 2007;27(3):253-259. doi: 10.1097/BPO.0b013e31803433a1.
- Burghardt RD, Herzenberg JE. Temporary hemiepiphysiodesis with the eight-Plate for angular deformities: mid-term results. J Orthop Sci. 2010;15(5):699-704. doi: 10.1007/s00776-010-1514-9.
- Соломин Л.Н., Виленский В.А. Практическая классификация деформаций длинных трубчатых костей // Травматология и ортопедия России. – 2008. – № S3. – С. 44. [Solomin LN, Vilenskiy VA. Prakticheskaya klassifikatsiya deformatsiy dlinnykh trubchatykh kostey. Travmatologiia i ortopediia Rossii. 2008;(S3):44. (In Russ.)]
- Соломин Л.Н., Щепкина Е.А., Кулеш П.Н., и др. Определение референтных линий и углов длинных трубчатых костей: пособие для врачей. – СПб.: РНИИТО им. Р.Р. Вредена, 2010. [Solomin LN, Shchepkina EA, Kulesh PN, et al. Opredelenie referentnykh liniy i uglov dlinnykh trubchatykh kostey: posobie dlya vrachey. Saint Petersburg: RNIITO im. R.R. Vredena; 2010. (In Russ.)]
- Danino B, Rodl R, Herzenberg JE, et al. Guided growth: preliminary results of a multinational study of 967 physes in 537 patients. J Child Orthop. 2018;12(1):91-96. doi: 10.1302/1863-2548.12.170050.
- Shabtai L, Herzenberg JE. Limits of Growth Modulation Using Tension Band Plates in the Lower Extremities. J Am Acad Orthop Surg. 2016;24(10):691-701. doi: 10.5435/JAAOS-D-14-00234.
- Stevens PM. The role of guided growth as it relates to limb lengthening. J Child Orthop. 2016;10(6):479-486. doi: 10.1007/s11832-016-0779-8.
- Velazquez RJ, Bell DF, Armstrong PF, et al. Complications of use of the Ilizarov technique in the correction of limb deformities in children. J Bone Joint Surg Am. 1993;75(8):1148-1156.
- Aston WJ, Calder PR, Baker D, et al. Lengthening of the congenital short femur using the Ilizarov technique: a single-surgeon series. J Bone Joint Surg Br. 2009;91(7):962-967. doi: 10.1302/0301-620X.91B7.21304.
- Launay F, Younsi R, Pithioux M, et al. Fracture following lower limb lengthening in children: a series of 58 patients. Orthop Traumatol Surg Res. 2013;99(1):72-79. doi: 10.1016/j.otsr.2012.08.005.
- Hasler CC, Krieg AH. Current concepts of leg lengthening. J Child Orthop. 2012;6(2):89-104. doi: 10.1007/s11832-012-0391-5.
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