Document Detail


Amputation or limb-lengthening for partial or total absence of the fibula.
MedLine Citation:
PMID:  2229119     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Thirty-two patients who had ablation of the foot by the Syme or Boyd technique for partial or total absence of the fibula, with subsequent fitting of a prosthesis, were compared with eleven patients who had lengthening of the lower limb by the Wagner method, to assess the long-term results of each procedure. The final results were evaluated on the basis of pain, limp, limb-length discrepancy, level of physical activity, and satisfaction of the patient. Of the thirty-two patients who had an amputation, twenty-eight (88 per cent) had a satisfactory result, compared with only six (55 per cent) of the eleven patients who had limb-lengthening. The amount of inequality between the lower limbs was classified as follows: Group I--the foot of the shorter extremity was at the distal third of the contralateral, normal limb, and the percentage of shortening was 15 per cent or less; Group II--the foot of the shorter extremity was at the level of the middle third of the contralateral, normal limb, and the percentage of shortening was between 16 and 25 per cent; and Group III--the foot of the shorter extremity was at the level of the proximal third of the contralateral, normal limb, and the percentage of shortening was greater than 26 per cent. Lengthening was best suited for patients in Group I who had stable hips, knees, and ankles and a plantigrade foot. Patients in Groups II and III were best served by ablation of the foot and fitting of a prosthesis.
Authors:
I H Choi; S J Kumar; J R Bowen
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Journal of bone and joint surgery. American volume     Volume:  72     ISSN:  0021-9355     ISO Abbreviation:  J Bone Joint Surg Am     Publication Date:  1990 Oct 
Date Detail:
Created Date:  1990-12-04     Completed Date:  1990-12-04     Revised Date:  2010-10-25    
Medline Journal Info:
Nlm Unique ID:  0014030     Medline TA:  J Bone Joint Surg Am     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1391-9     Citation Subset:  AIM; IM    
Affiliation:
Alfred I. duPont Institute, Wilmington, Delaware 19899.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Amputation / adverse effects,  methods*
Artificial Limbs
Bone Lengthening / adverse effects,  methods*
Child
Child, Preschool
Consumer Satisfaction
Female
Fibula / abnormalities*,  surgery*
Follow-Up Studies
Fractures, Stress / etiology
Humans
Infant
Length of Stay
Male
Necrosis
Reoperation
Surgical Flaps / adverse effects,  pathology
Surgical Wound Infection / etiology
Comments/Corrections
Comment In:
J Bone Joint Surg Am. 1991 Sep;73(8):1272-3   [PMID:  1890134 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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