Ilizarov tension - stress rule in the calf and the application of internal and external varus deformity.docVIP

 PAGE \* MERGEFORMAT 14 Ilizarov tension - stress rule in the calf and the application of internal and external varus deformity Author: Liu Chunzhi, Guo Xiaowei, the mother soul, and Wang Zhen Yan Abstract [Objective] To investigate the application of Ilizarov tension - stress rule combined with external fixation for correction of varus deformity efficacy of inside and outside leg. To create a minimally invasive treatment of leg inside and outside the varus deformity of the new methods. [Method] Undergraduate applications from 2002 to 2005 combined both inside and outside leg orthosis correction of varus deformity in 12 cases, 9 males and 3 females, aged 10 to 25 years old, with an average 15 years old. 8 cases of left, right, 4 cases; tibial epiphyseal injury in 2 cases of upper, lower epiphyseal injury in 10 cases; leg varus 9 cases, 3 cases of valgus; traumatic epiphyseal injury in 9 cases, metaphyseal infection early epiphyseal closure 2 cases, tumor-induced early epiphyseal closure in 1 case. According to the patients limb length, thickness, pre-assembly of different length and circumference of the joint combined with orthopedic devices, minimally invasive osteotomy, in accordance with the principles of Ilizarov’s pinning to install multi-function modular orthopedic leg to turn inside and outside the orthoses, after 7 d begins to rotate threaded rod, one side has softened, and the other side of pressure, and gradually correct the internal and external varus deformity, internal and external varus deformity corrected if there is shortening, and then OK 4 threaded rod at the same time distraction , until the contralateral limb with the same length. [Results] 12 patients were followed up for 7 months to 4 years and 6 months, an average of 1 year and 3 months, 2 patients because of age is too small deformity recurrence 5 ~ 8 °, walking a well-functioning, patients and their families are not satisfied with once again the correction. The patients wit