Congenital absence of the tibia with severe knee flexion deformity of the distraction treatment of 1 case.docVIP

 PAGE \* MERGEFORMAT 27 Congenital absence of the tibia with severe knee flexion deformity of the distraction treatment of 1 case Author: Lee Cheng-xin Qin Si river Wu Hongfei Zhou Yu Song 【Key Words】 flexion deformity Abstract: [Objective] To investigate the use of knee joint distraction in treatment of congenital absence of the tibia with severe flexion deformity results. [Method] 1 cases of congenital complete absence of the right tibia, distal femur was fork-like, fibula head and distal femur to form an unstable knee joint, with flexion deformity 95 °, on a half years old implementation of the femur repair surgery, 5 years old, and 8 at the age of the knee Ilizarov distraction apparatus installed in two phases, pulling up extensor flexion deformity correction 0 ° position, so that fibula head and distal femur into the knee joint, the dissolution of distraction apparatus can stabilize the knee joint after the assembly of a high fill the lower extremity orthopedic device to walk. [Results] after the first knee joint drawing 5 a 3-month follow-up, complete correction of knee flexion deformity, fibular ossification trends have emerged tibia, fibula head and distal femur consisting of knee has stabilized at 0 ° bit, wear make up a high limb orthosis can walk with bare hands. [Conclusion] The knee joint drawing techniques, can effectively correct the congenital absence of the tibia associated with deformity of the knees, the installation with a knee hinge distraction apparatus can be controlled fibula head and distal femur in a neutral position, in the long-term physiological walking stress stimulated tibia fibula occurred in kind of changes, can grow into a similar morphological structure of the knee, the entire limb due to normal walking use well developed. Keywords: Congenital absence of the tibia; flexion deformity; minimally invasive; Ilizarov; drafting technique Knee joint distraction in treatment of severe knee flexion deformit