Abstract：Objective To explore the use of Ilizarov external fixation for the treatment of children with diaphyseal aclasis.Methods Twenty-nine children with diaphyseal aclasis were treated with Ilizarov extension method at our hospital between February 2009 and October 2015. The effect of surgical correction of malformation and functional improvement of the limb were assessed via regular clinical reexaminations and X-ray.Results The patients were followed up for 38 months on average and the ulna was elongated 3.2 cm on average. There was one case with nonunion that was healed after the speed of elongation was slowed down. Fracture occurred in one case after frame removal, but was healed after 3 weeks of casting. The functions of the wrist, elbow and forearm were all improved after surgery.Conclusions The treatment of diaphyseal aclasis caused by hereditary multiple exostoses using the Ilizarov frame and step-by-step elongation has proved effective. Surgeons should be careful in controlling the speed of elongation to prevent secondary injury and related complications.
范竟一, 张学军, 李承鑫, 孙琳. Ilizarov外固定架分步延长法治疗儿童尺骨骨干续连症的疗效[J]. 武警医学, 2017, 28(12): 1209-1212.
FAN Jingyi, ZHANG Xuejun, LI Chengxin, SUN Lin. Application of step by step elongation by Ilizarov frame in the treatment of forearm deformity caused by hereditary multiple exostoses. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(12): 1209-1212.
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