PDF(Pubmed)
Abstract：
UNASSIGNED: Complications are common in the treatment of lower extremity congenital or acquired deformities by Ilizarov method. The results to be obtained vary in specific patient groups. In this study, deformities who developed before the age of 16 were compared with those developed after this age regardless of the type of aetiology, in terms of results obtained, treatment durations and complications encountered.
UNASSIGNED: 53 bone deformities with an average of 9.5 (7.5-18) years of follow-up treated by the same surgeon were divided into 2 groups according to the age of deformity onset. Demographics and deformity characteristics of patients were defined, treatment times, bone healing indexes, consolidation/correction rates, problems encountered and results obtained were compared retrospectively. The results were compared with ASAMI functional and bone scoring. Complications were rated according to Paley and relative risk increases between groups were calculated.
UNASSIGNED: 26 of the patients were men and 22 were women. The average age was 26.47 (7-57). The mean deformity was 23.98° (7-60) and the mean shortness in 39 patients was 38.65 (10-110)mm. Mechanical axis deviation was corrected in 83% of patients. The Lengthening index was 54.13days/cm in the development group and 63.69 days/cm in adults. Consolidation/correction rate was 2.54 in developmental age and 2.4 (p=0.698) in adults. The risk increased by 1.02 times in terms of problems encountered, 2 for obstacles, 3 times in complications and 1.34 times in total difficulties per case, according to Paley. The duration of stay in the fixator was higher in developmental group (p=0.023). ASAMİ functional (p=0.000148) and anatomical (p=0.000242) scores were better in the adult group.
UNASSIGNED: Congenital or acquired deformities in the lower extremity can be treated with satisfactory results by Ilizarov method. The development of deformity at an early age makes treatment difficult. Although the bone healing index is lower in this group of patients, which usually has a higher amount of shortness, the treatment is usually longer than that of adult deformities; complications are more frequent and serious. Functional and anatomical results are more unsuccessful.
UNASSIGNED: 53 bone deformities with an average of 9.5 (7.5-18) years of follow-up treated by the same surgeon were divided into 2 groups according to the age of deformity onset. Demographics and deformity characteristics of patients were defined, treatment times, bone healing indexes, consolidation/correction rates, problems encountered and results obtained were compared retrospectively. The results were compared with ASAMI functional and bone scoring. Complications were rated according to Paley and relative risk increases between groups were calculated.
UNASSIGNED: 26 of the patients were men and 22 were women. The average age was 26.47 (7-57). The mean deformity was 23.98° (7-60) and the mean shortness in 39 patients was 38.65 (10-110)mm. Mechanical axis deviation was corrected in 83% of patients. The Lengthening index was 54.13days/cm in the development group and 63.69 days/cm in adults. Consolidation/correction rate was 2.54 in developmental age and 2.4 (p=0.698) in adults. The risk increased by 1.02 times in terms of problems encountered, 2 for obstacles, 3 times in complications and 1.34 times in total difficulties per case, according to Paley. The duration of stay in the fixator was higher in developmental group (p=0.023). ASAMİ functional (p=0.000148) and anatomical (p=0.000242) scores were better in the adult group.
UNASSIGNED: Congenital or acquired deformities in the lower extremity can be treated with satisfactory results by Ilizarov method. The development of deformity at an early age makes treatment difficult. Although the bone healing index is lower in this group of patients, which usually has a higher amount of shortness, the treatment is usually longer than that of adult deformities; complications are more frequent and serious. Functional and anatomical results are more unsuccessful.
摘要：
■并发症在Ilizarov方法治疗下肢先天性或获得性畸形中很常见。获得的结果在特定患者组中有所不同。在这项研究中,将16岁之前发育的畸形与该年龄之后发育的畸形进行比较，无论病因是什么类型，就获得的结果而言，治疗持续时间和遇到的并发症。
■由同一外科医生治疗的平均9.5（7.5-18）年随访的53例骨畸形根据畸形发病年龄分为2组。定义了患者的人口统计学和畸形特征，治疗次数,骨愈合指数，合并/修正率，遇到的问题和获得的结果进行了回顾性比较。将结果与ASAMI功能和骨评分进行比较。根据Paley对并发症进行评级，并计算组间的相对风险增加。
■其中26例为男性，22例为女性。平均年龄为26.47（7-57）。39例患者的平均畸形为23.98°（7-60），平均矮小为38.65（10-110）mm。83％的患者机械轴偏差得到纠正。发育组延长指数为54.13天/cm,成人为63.69天/cm。发育年龄的巩固/矫正率为2.54，成人为2.4（p=0.698）。在遇到的问题方面，风险增加了1.02倍，2为障碍，每例并发症3倍，总困难1.34倍，根据佩利。在发育组中，在固定器中的停留时间较高（p=0.023）。在成人组中，ASAM的功能（p=0.000148）和解剖学（p=0.000242）评分较好。
■下肢先天性或获得性畸形可通过Ilizarov方法治疗，效果满意。早期畸形的发展使治疗变得困难。虽然该组患者的骨愈合指数较低，通常有较高的短促，治疗时间通常长于成人畸形；并发症更频繁和严重。功能和解剖学结果更不成功。
■由同一外科医生治疗的平均9.5（7.5-18）年随访的53例骨畸形根据畸形发病年龄分为2组。定义了患者的人口统计学和畸形特征，治疗次数,骨愈合指数，合并/修正率，遇到的问题和获得的结果进行了回顾性比较。将结果与ASAMI功能和骨评分进行比较。根据Paley对并发症进行评级，并计算组间的相对风险增加。
■其中26例为男性，22例为女性。平均年龄为26.47（7-57）。39例患者的平均畸形为23.98°（7-60），平均矮小为38.65（10-110）mm。83％的患者机械轴偏差得到纠正。发育组延长指数为54.13天/cm,成人为63.69天/cm。发育年龄的巩固/矫正率为2.54，成人为2.4（p=0.698）。在遇到的问题方面，风险增加了1.02倍，2为障碍，每例并发症3倍，总困难1.34倍，根据佩利。在发育组中，在固定器中的停留时间较高（p=0.023）。在成人组中，ASAM的功能（p=0.000148）和解剖学（p=0.000242）评分较好。
■下肢先天性或获得性畸形可通过Ilizarov方法治疗，效果满意。早期畸形的发展使治疗变得困难。虽然该组患者的骨愈合指数较低，通常有较高的短促，治疗时间通常长于成人畸形；并发症更频繁和严重。功能和解剖学结果更不成功。
