@article{oai:air.repo.nii.ac.jp:00003334, author = {長幡, 樹 and 野坂, 光司 and 阿部, 秀一 and 冨岡, 立 and 千田, 秀一 and 青沼, 宏 and 土江, 博幸 and 柴田, 暢介 and 益谷, 法光 and 尾野, 祐一 and 宮腰, 尚久 and 島田, 洋一 and Nagahata , Itsuki and Nozaka, Koji and Abe, Hidekazu and Tomioka, Tatsuru and Chida, Syuichi and Aonuma, Hiroshi and Tsuchie, Hiroyuki and Shibata, Nobusuke and Masutani, Norimitsu and Ono, Yuichi and Miyakoshi, Naohisa and Shimada, Yoichi}, issue = {2}, journal = {秋田医学, AKITA JOURNAL OF MEDICINE}, month = {Nov}, note = {[Case] An 80-year-old woman presented with bilateral osteoarthritis. Bilateral simultaneous distal tibial oblique osteotomy with Ilizarov external fixation combined with a foot ring was performed. She started rehabilitation from postoperative day one, and left the hospital wearing an Ilizarov ring. She experienced a fall about 2 months postoperatively, and sustained a fracture near the Ilizarov ring. Surgery was again performed, adding an Ilizarov ring further proximally with closed fixation. Three months after the first operation, all Ilizarov ring was removed, with good passage. [Discussion] We have not previously reported peri-Ilizarov ring fixator of a fracture. In this case, because we recognized high-level osteoporosis due to extended steroid use, fracture may have occurred with minor trauma. We provided treatment with an additional Ilizarov ring in the proximity of the original Ilizarov external fixation. Addition of a ring enabled preservation of the periosteum by closed fixation. Strong fixation from the Ilizarov ring allowed early loading. Given this experience, fixation for deformity correction and Ilizarov external fixation after bone fracture may increase, along with Ilizarov external fixation of peripheral fractures. If this additional ring facilitated remodeling and promoted good results for bone fusion, this procedure may be considered for optimal treatment.}, pages = {63--67}, title = {脛骨骨幹部骨折に対してリング追加の最小侵襲で治癒したIlizarov 創外固定周囲骨折の1 例}, volume = {45}, year = {2018} }