Ilizarov distraction technique in the treatment of traumatic application of pedal.docVIP

 PAGE \* MERGEFORMAT 21 Ilizarov distraction technique in the treatment of traumatic application of pedal Abstract [Objective] To evaluate the application of Ilizarov distraction in treatment of traumatic effect of pedal. [Method] since December 2004 ~ February 2006 using Ilizarov treatment of eight patients with traumatic pedal, of which 5 males and 3 females; aged 28 to 52 years, with an average of 34.6 years of age. Pedal causes: the anterolateral lower leg muscles in 3 cases of fractures or defects, the small leg compartment syndrome in 2 cases, common peroneal nerve injury in 2 cases of supracondylar fracture of the femur and the popliteal artery rupture in 1 case. Tonic ankle plantar flexion range of 50 ° ~ 65 °. Operation will be ready traction frame set into the lower leg and foot of the appropriate location. In the steel ring plane crossing the corresponding penetration of 2 mm Kirschner wire and fixed on the Ilizarov distraction shelf, 3 ~ 5 d after the beginning of 1 ~ 2 laps / d, 4 times / d before the ankle rotation speed of the rear adjustment threaded rod, so that the affected foot foot ring led gradually Beishen to pedal deformity gradually be corrected. When the pedal pulling met or exceeded the neutral position after the cessation of stretch, but continue to use the traction frame fixed 2 ~ 3 months to consolidate the curative effect. [Results] All patients were followed up for 10 to 21 months, an average of 12.5 months. The affected foot were corrected to the neutral position, there are three cases of patients with ankle can take the initiative to Beishen to 10 °, walking function were in good condition. 1 patient a needle tract infection, after losing use of antibiotics to enhance needle tract care, to ensure unobstructed drainage needle tract infection gradually control. No one cases of skin necrosis occurred, nerves, blood vessel injuries occurred. Pedal deformity in all patients without recurrence. [Conclusion] The application of