Gradual bone transfer for the correction of the pubic diastasis using the Ilizarov technique in closure of bladder and cloacal exstrophy

• Published in: Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association Vol. 23; no. 1; pp. 144 - 150
• Main Authors: Kusakabe, Hiroshi, Ueoka, Katsuhiko, Takayama, Shinichiro, Seki, Atsuhito
• Format: Journal Article
• Language: English
• Published: Japan Elsevier B.V 01.01.2018
• Subjects: Bladder Exstrophy - diagnosis; Bladder Exstrophy - diagnostic imaging; Case-Control Studies; Combined Modality Therapy; Female; Follow-Up Studies; Humans; Ilizarov Technique; Imaging, Three-Dimensional; Infant; Male; Osteotomy - methods; Patient Selection; Postoperative Complications - diagnostic imaging; Postoperative Complications - physiopathology; Postoperative Complications - surgery; Pubic Symphysis Diastasis - diagnostic imaging; Pubic Symphysis Diastasis - surgery; Radiography - methods; Reconstructive Surgical Procedures - methods; Recovery of Function; Reoperation - methods; Risk Assessment; Time Factors; Tomography, X-Ray Computed - methods; Treatment Outcome; Urologic Surgical Procedures - methods

In the patient of the cloacal exstrophy, cloaca with local abdominal wall is disrupted and exposed inner surface of the bladder needs early closure. Pelvic osteotomies are required for severe cases whose bladder cannot be closed by the suture of soft tissue only. We developed a technique involving t...