Tibial lengthening over an intramedullary nail in patients with short stature or leg-length discrepancy: a comparative study
Tibial lengthening over an intramedullary nail in patients with short stature or leg-length discrepancy: a comparative study
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身材矮小或下肢长度不等的患者通过髓内钉延长胫骨：一项比较研究
DOI：
10.1007/s00264-011-1246-2
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发表时间：
2012-01-01
影响因子：
2.7
通讯作者：
Zhao, Feng
中科院分区：
文献类型：
--
作者：
Guo, Qianchen;Zhang, Tao;Zhao, Feng
本研究的目的是回顾我们在髓内钉上胫骨延长术与传统的Ilizarov方法的比较。方法对采用传统的Ilizarov方法的胫骨延长术(A组：13例患者23条肢体)和髓内钉延长(B组：26例患者51条肢体)进行了回顾性比较。结果术后胫骨平均增长7.4 cm，平均增长26.0%。延长指数和固位指数无明显差异，但A组患者外固定器使用时间(281.5天)明显长于B组(129.0天)，外固定指数(40.0d/cm)大于B组(17.4d/cm)。A组的并发症发生率(1.0个/胫骨)高于B组(0.47个/胫骨)。结论胫骨延长术较传统的Ilizarov方法具有外固定时间短、并发症发生率低等优点。
PurposeThe aim of this study was to review our experiences with tibial lengthening over an intramedullary nail in comparison to the conventional Ilizarov method.MethodsWe performed a retrospective comparison of tibial lengthening using the conventional Ilizarov method (group A: 23 limbs in 13 patients) versus over a nail (group B: 51 limbs in 26 patients). The percentage increase in tibial length, lengthening index, external fixation index, consolidation index and complications were assessed.ResultsThe mean gain in tibial length was 7.4 cm, which represents a mean increase of 26.0%. There was no difference in lengthening index or consolidation index; however, the patients in group A wore the external fixator longer than those in group B (281.5 versus 129.0 days), which represents a larger external fixation index (40.0 versus 17.4 day/cm). Group A had a higher complication rate (1.0 versus 0.47 per tibia) than group B.ConclusionsTibial lengthening over an intramedullary nail confers advantages over the conventional Ilizarov method, including shorter time needed for external fixation and lower complication rates.