医学
关节融合术
畸形
外科
截骨术
神经血管束
股骨
外固定器
骨科手术
病理
替代医学
作者
Bilal Demir,Ramadan Öke,Kahraman Öztürk,Kerem B. Aydin,Sarper Gürsu,Vedat Şahin
出处
期刊:Acta Orthopaedica Belgica
[Acta Orthopaedica Belgica]
日期:2008-06-01
卷期号:74 (3): 424-428
摘要
Septic arthritis in child age results in sequelae when treated late or inappropriately. Arthrodesis is a salvage option which is rarely performed in children because of its complications and resultant disabilities. We report the case of a 16-year-old boy who had been treated with arthrodesis of his right knee at the age of seven and subsequently developed a progressive osseous deformity, eventually resulting in a 130 degrees flexion deformity of the knee. The deformity and the resulting limb length discrepancy were corrected using the Ilizarov method. In a single stage operation, a wedge resection osteotomy at the distal femur was performed and a ring fixator was applied. The mechanical axis was corrected first by gradual closing of the wedge thus avoiding damage to the posterior neurovascular structures, followed by lengthening.
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