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- W3029533188 abstract "ObjectiveTo evaluate the treatment of shortening deformity after replantation of severed lower leg by Ilizarov technique.MethodsFrom September 2012 to December 2014, 6 patients with shortening deformity after replantation of severed lower leg were treated by Ilizarov transport at our department. They were 2 men and 4 women, aged from 24 to 40 years (average, 31.7 years). Of them, 2 were complicated with contralateral open tibiofibular fracture. The replanted limbs were fixated by unilateral external fixator. The shortening after replantation averaged 7.8 cm (from 5 cm to 12 cm). Annular external fixator was applied 9 to 18 weeks after the replantation (average, 12.7 weeks). Bone lengthening started one week after the replantation.ResultsThe 6 patients were followed up for an average of 14.7 months (from 12 to 26 months). The time for annular external fixation ranged from 9 to 15 months (average, 11.5 months). The average external fixation index (EFI) was 1.52 month/cm (from 1.25 to 1.80 month/cm). The fractures at the severed limb healed after an average of 9.7 months (from 7 to 12 months). Two cases received extra internal fixation due to poor bone min-eralization in the lengthening section. Three cases received ankle fusion. Five cases suffered pin track infection but no deep tissue infection. No such complication was observed as re-fracture or neurovascular injury. According to Paley’s criteria, the bony results were excellent in 4 cases and good in 2 while the functional results were ex-cellent in 3 and good in 3.ConclusionIlizarov technique is a simple and effective way to treat shortening deformity after replantation of severed limb, but the treatment needs a long period and high compliance from the patients.Key words: Osteogenesis, distraction; Ilizarov technique; Leg bones" @default.
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- W3029533188 date "2016-10-15" @default.
- W3029533188 modified "2023-09-26" @default.
- W3029533188 title "Treatment of shortening deformity after replantation of severed lower leg by Ilizarov technique" @default.
- W3029533188 doi "https://doi.org/10.3760/cma.j.issn.1671-7600.2016.10.015" @default.
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