Application of step by step elongation by Ilizarov frame in the treatment of forearm deformity caused by hereditary multiple exostoses

FAN Jingyi; ZHANG Xuejun; LI Chengxin; SUN Lin

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Medical Journal of the Chinese People Armed Police Forces ›› 2017, Vol. 28 ›› Issue (12) : 1209-1212.

Application of step by step elongation by Ilizarov frame in the treatment of forearm deformity caused by hereditary multiple exostoses

FAN Jingyi, ZHANG Xuejun, LI Chengxin, SUN Lin

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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.

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Ilizarov frame / step by step elongation / hereditary multiple exostoses / diaphyseal aclasis

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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[J]. Medical Journal of the Chinese People Armed Police Forces. 2017, 28(12): 1209-1212

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