PEDIATRIC LIMB-LENGTHENING SURGERY-STUDY ON THE ILIZAROV’S
TECHNIQUE
Pan Shao-chuan, et al
Beijing Children’s Hospital, Beijing, China
Objective: Evaluation of
our modified Ilizarov’s external fixator whether it can he accomplish
various orthopedic care.
Methods: 140 pediatric
cases of limbs problems were treated as follows.
A. Limb lengthening 92
cases
femur 22, tibia 56, humerus 10, ulnar 3, radius 1
B. Bone defect 6
cases
tibia 5, femur 1
C. Pseudathrosis 17
cases
tibia 15 (congenital 12; osteo. 1), femur 2 (osteo.)
D. Congenital
humeral varus 10
cases
E.
Coxa vara 2
cases
F.
Resistant Club foot 4
cases
G.
Dwarfism 6
cases
H.
Flexion contracture of the knee 3
cases
Results: Follow-up 3~9
years, average 6.4 years
Lengthening 3~16cm, average 8.7cm
Union of the psendathrosis 11/15(73.33%)
Continuity of the bone defect 6/6
Restored the neck-shaft angle
proximal humerus 9/10 upper
end of femerus 2/2
Knee flexion contracture fully corrected 3/3
Problem:
14 cases Complication:
17 cases
Conclusions:
1). Our experience is of follow the Ilizarov’s biologic principles
and technique, those surgeries is safe and effective for the different age
group of pediatric patients. 2). The Ilizarov’s method provides a minimally
invasive technique in developing new way of treating, many difficult
clinical problems, for children as well.