TY  - JOUR
PY  - 2018//
TI  - The treatment of complex motorcycle spoke injuries in children
JO  - Journal of the American Podiatric Medical Association
A1  - Jielile, Jiasharete
A1  - Li, Pengfei
A1  - Bahetiya, Wulan
A1  - Badelhan, Aynaz
A1  - Qianman, Bayixiati
A1  - Jialihasi, Ayidaer
A1  - Shawutali, Nuerai
A1  - Wuerliebieke, Jianati
A1  - Aizezi, Adili
A1  - Yeerboo, Naertai
A1  - Makemutibieke, Elihaer
A1  - Aisaiding, Amuding
A1  - Hazehan, Tuolihawu
A1  - Shatewalede, Tulede
A1  - Awuyyesihan, Zhumatai
SP  - 409
EP  - 418
VL  - 108
IS  - 5
N2  - Motorcycle spoke injuries involving the soft tissue, Achilles tendon, and calcaneal defects are rare in children. Currently, calcaneal defects are very challenging to treat. Multiple methods have been used in clinical practice; however, an effective treatment has yet to be established, especially when Achilles tendon and soft-tissue defects are also present. It is important to address this condition, because the calcaneus plays a key role in standing and gait. Unsatisfactory treatment of calcaneal defects may significantly decrease patients' quality of life (eg, by limiting mobility). In this article, we report the effective treatment of calcaneal defects in four children using distraction osteogenesis with an external fixator framework designed by the authors. From May 2014 to May 2015, four children (age range, 6-11 years) with defects of the Achilles tendon, soft tissue, and calcaneus resulting from a motorcycle accident were treated at our hospital. The Achilles tendon and soft-tissue defects were treated with second-stage reconstruction. In the third-stage surgery, osteotomy of the residual calcaneus was performed. A customized external fixator was used to lengthen the calcaneus at a rate of 1.5 mm/day in the posterior direction and reposition it by 40° in the inferior direction. In all four children, the calcaneus was lengthened by 5 cm. Distraction osteogenesis through external fixation is effective for restoring the length, width, and height of the calcaneus in children.<p /> <p>Language: en</p>
LA  - en
SN  - 8750-7315
UR  - http://dx.doi.org/10.7547/16-066
ID  - ref1
ER  -