著者
土屋 弘行 加畑 多文 北野 慎治 上原 健治 森永 敏生 富田 勝郎
出版者
Japanese Society for Joint Diseases
雑誌
日本リウマチ・関節外科学会雑誌 (ISSN:02873214)
巻号頁・発行日
vol.17, no.4, pp.237-248, 1999-06-10 (Released:2010-10-07)
参考文献数
11

Introduction of the Ilizarov external fixator has bought about a treatment revolution to resolve such orthopaedic problems as fracture fixation, limb lengthening, deformity correction, joint mobilization, and reconstruction of bone and soft tissue defects. One of the advantages of the Ilizarov method is its versatility, that is, different orthopaedic problems can be simultaneously treated with the Ilizarov method. In this study, we introduce a method of deformity correction of the lower extremities and reconstruction of skeletal defects using the Ilizarov external fixator. Deformity correction with the Ilizarov hinge system is very useful to realign the mechanical axis of the lower extremities. We also introduce a new concept of high tibial osteotomy called“mechanical axis lateralization”for genu varum resulting from unicompartmental medial osteoarthrosis, Blount's disease and so on. In addition, the Ilizarov method made it possible to successfully reconstruct extensive bone defects combined with or without intramedullary nailing. The Ilizarov method will become more widely used and advantageous if the treatment period is shortened.
著者
高宮 啓彰 永田 見生 後藤 博史 薗田 恭輔 井本 浩樹 真島 武 吉松 弘喜 岩崎 敏展 富田 勝郎 河原 範夫
出版者
West-Japanese Society of Orthopedics & Traumatology
雑誌
整形外科と災害外科 (ISSN:00371033)
巻号頁・発行日
vol.48, no.4, pp.1056-1060, 1999-09-25 (Released:2010-02-25)
参考文献数
5

We present four cases of primary spinal tumor in adolescents. Two patients had aneurysmal bone cyst, and two osteoblastoma. These tumors were found in the thoracic spine in one patient, and lumbar spine in 3. The patients consisted of four men, and their average age was 19 years old. Following resection of their tumors, spinal instrumentation was used in two patients because of massive destructive change in the lumbar spine. Average duration of the follow-up was 9 months. Although there has been no recurrence in all cases, further observation is necessary.