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Use of Ilizarov technique for bilateral knees flexion contracture in Juvenile-onset ankylosing spondylitis: A case report

引用

World Journal of Clinical Cases 2023年第29期11卷 7179-7186页

作者： Li-Wei Xia Cheng Xu Jian-Han Huang Department of Orthopedics Guangxi Zhuang Autonomous Region Jiangbin HospitalNanning 530000Guangxi Zhuang Autonomous RegionChina Department of Science and Education Guangxi Zhuang Autonomous Region Jiangbin HospitalNanning 530000Guangxi Zhuang Autonomous RegionChina

BACKGROUND Ankylosing spondylitis(AS)is a chronic rheumatic disease that primarily affects the spine and the sacroiliac and peripheral ***-onset AS(JoAS)patients will likely present with peripheral joint *** flexion contracture(KFC)and hip flexion contracture(HFC)are common in these patients due to subchondral bone *** Ilizarov technique is the most commonly used technique for treating ***,its use to treat JoAS-associated KFC has not been *** SUMMARY This report presents a case study of a 31-year-old male patient with a squatting gait due to severe bilateral KFC and *** patient had a normal walking pattern until the age of eight,after which he experienced knee and hip pain,leading to the gradual development of KFC and *** patient’s primary complaint was an inability to walk *** patient was diagnosed with JoAS and under-went hip dissection and release,limited soft tissue release of the hamstring,and gradual traction using the Ilizarov ***,the patient was able to walk *** The incidence of squatting gait due to KFC in individuals diagnosed with JoAS was *** the Ilizarov technique has proven to be a secure and effective method for managing KFC in JoAS *** the Ilizarov technique cannot substitute for total knee arthroplasty(TKA),its application can delay the need for primary TKA in JoAS patients and alleviate the intricacy and potential complications associated with the procedure.

关键词： Juvenile-onset ankylosing spondylitis Knee flexion contracture squatting gait Ilizarov ring external fixator Total knee arthroplasty Case report

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