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Jielile J, Li P, Bahetiya W, et al. The Treatment of Complex Motorcycle Spoke Injuries in Children. J Am Podiatr Med Assoc. 2018;108(5):409-418doi: 10.7547/16-066.
Jielile, J., Li, P., Bahetiya, W., Badelhan, A., Qianman, B., Jialihasi, A., Shawutali, N., Wuerliebieke, J., Aizezi, A., Yeerboo, N., Makemutibieke, E., Aisaiding, A., Hazehan, T., Shatewalede, T., & Awuyyesihan, Z. (2018). The Treatment of Complex Motorcycle Spoke Injuries in Children. Journal of the American Podiatric Medical Association, 108(5), 409-418. https://doi.org/10.7547/16-066
Jielile, Jiasharete, et al. "The Treatment of Complex Motorcycle Spoke Injuries in Children." Journal of the American Podiatric Medical Association vol. 108,5 (2018): 409-418. doi: https://doi.org/10.7547/16-066
Jielile J, Li P, Bahetiya W, Badelhan A, Qianman B, Jialihasi A, Shawutali N, Wuerliebieke J, Aizezi A, Yeerboo N, Makemutibieke E, Aisaiding A, Hazehan T, Shatewalede T, Awuyyesihan Z. The Treatment of Complex Motorcycle Spoke Injuries in Children. J Am Podiatr Med Assoc. 2018 Sep 01;108(5):409-418. doi: 10.7547/16-066. PMID: 34670345.
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J Am Podiatr Med Assoc. 2018 Sep 01;108(5):409-418. doi: 10.7547/16-066.

The Treatment of Complex Motorcycle Spoke Injuries in Children.

Journal of the American Podiatric Medical Association

Jiasharete Jielile, Pengfei Li, Wulan Bahetiya, Aynaz Badelhan, Bayixiati Qianman, Ayidaer Jialihasi, Nuerai Shawutali, Jianati Wuerliebieke, Adili Aizezi, Naertai Yeerboo, Elihaer Makemutibieke, Amuding Aisaiding, Tuolihawu Hazehan, Tulede Shatewalede, Zhumatai Awuyyesihan

Affiliations

  1. Department of Microsurgical and Reconstruction of Orthopedics Centre, First Teaching Hospital of Xinjiang Medical University and Sports Medicine Research Centre of Orthopedics Research Institute, Urumqi, Xinjiang, China.
  2. Department of Pediatric Surgery, Peoples' Hospital of Xinjiang Uygur Autonomous Region, Urumqi, Xinjiang, China.
  3. People's Hospital of Tacheng City, Tacheng, China.
  4. Qingfeng Orthopedics Hospital of Urumqi, Urumqi, Xinjiang, China.
  5. People's Hospital of Aletai Area, Xinjiang, China.

PMID: 34670345 DOI: 10.7547/16-066

Abstract

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.

Copyright ©2018 by the American Podiatric Medical Association.

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