کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
3239241 1205991 2015 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Correction of multiple complex lower limb deformities by intramedullary nailing
ترجمه فارسی عنوان
اصلاح ضخامت های پیچیده اندام تحتانی توسط ناخن های داخل مفصل
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی طب اورژانس
چکیده انگلیسی

A female patient presented to our institution suffering from long bone post-traumatic multiple deformities. Her walking was limited, painful and teetering. It had worsened over the past months. The right leg was shortened by 6 cm compared to the contralateral. The right femur was 18° varus, the right tibia was 16° valgus, the left tibia was 12° varus. Both knee joints showed marked radiographic signs of osteosclerosis. After a thorough study with simulations using paper models, we carried out three osteotomies, two open wedge and one cuneiform, stabilizing them with intramedullary nails. We conducted the operation in two stages, in order to avoid an excessive surgical stress that could give rise to complications such as DVT, fat embolism, and respiratory insufficiency. This allowed a rapid recovery of her weight bearing and walking capacity, reducing significantly also the leg length discrepancy. She progressed uneventfully to healing of the osteotomy sites and she returned to her previous occupation.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Injury - Volume 46, Supplement 7, December 2015, Pages S35–S39
نویسندگان
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