Ilizarov distraction tissue regeneration complex deformity correction of severe knee.docVIP

 PAGE \* MERGEFORMAT 4 Ilizarov distraction tissue regeneration complex deformity correction of severe knee Author: Qin Si River, CAI Gang, Weng Xi-sheng, ZHOU Yu-Song [Abstract] [Objective] To investigate the Ilizarov distraction tissue regeneration complex deformity correction of severe knee joint (knee joint there are more than two kinds of deformities exist, such as combined varus knee flexion, leg shortening, etc.) equipment configuration, surgical techniques, intraoperative After the management process and efficacy. [Methods] Ilizarov distraction tissue regeneration in accordance with the principle, developed with three-dimensional features of the knee joint drawing orthopedic appliance needs to be extended over the same period who did lower limbs, in the appliance plus the extension on the basis of attachment. According to the different types of knee joint complex deformity and bone deformity in the femoral condyle or tibial osteotomy, cross-pinning fixed stretch knee orthoses, after 7 d slowly rotating threaded distraction rod and its associated 4 a universal joint, knee flexion contracture of the soft tissue, as well as the coexistence of knee varus, valgus, rotation, shortening and other lower limb bone deformities can be corrected slowly over the same period, in the process of pulling correct deformities, limb can be partially involved in discreet walk. Bone healing after osteotomy distraction at dismantling the distraction apparatus, the assembly of orthopedic knee brace to walk 3 to 6 months. Since May 1996 ~ February 2004, a total correction of severe deformity of knee joint compound 14 patients, aged 5 to 41 years old, an average of 27-year-old. A total of seven diseases, including childhood infections caused by the knee injury or knee epiphyseal deformities in 4 cases, other causes of knee joint complex deformity in 10 cases. [Results] 14 patients after pulling the joints and bone healing time of 80 ~ 390 d, an average of 154 d. All patients