Document Detail


Analysis of scar formation after lower limb lengthening: influence on cosmesis and patient satisfaction.
MedLine Citation:
PMID:  15502574     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Limb lengthening aims to reduce limb length discrepancy, improve cosmesis, and permit more functional mobility. Scarring, however, is a major concern of patients. In this study 25 patients (27 lengthening sites) were assessed; 6 sites were lengthened with Orthofix and 21 sites with Ilizarov. Altogether, 452 pin tract scars were assessed. The mean scar length was 11.5 mm in the Ilizarov group (n=415) and 54.1 mm in the Orthofix group (n=37). The mean scar width was 5.6 mm in the Ilizarov group and 11.5 mm in the Orthofix group. The mean patient satisfaction was 7.3 in the Orthofix group and 5.5 in the Ilizarov group. The mean Vancouver score was 0.66 in the Ilizarov group and 3.1 in the Orthofix group. The scars were shorter and cosmetically better in the Ilizarov group, but patients were more satisfied in the Orthofix group because there were fewer scars. Patients were also more satisfied with the thigh scars than with the leg scars because clothing can easily cover the thigh scars.
Authors:
Law Ka Pui Karlen; Wahab Yinusa; Lam Shuk Yan; Kwan Wing Wang; Li Yun Hoi; Leong Chi Yan John
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  24     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2004 Nov-Dec
Date Detail:
Created Date:  2004-10-25     Completed Date:  2005-06-28     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  706-10     Citation Subset:  IM    
Affiliation:
Occupational Therapy Department, The Duchess of Kent Children's Hospital at Sandy Bay, Hong Kong, China. karlenhk@yahoo.com.hk
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Lengthening / adverse effects,  instrumentation,  methods*
Bone Nails
Child
Child, Preschool
Cicatrix / etiology,  pathology*
Cosmetics
Femur / surgery
Humans
Infant
Leg / surgery*
Patient Satisfaction
Postoperative Care
Tibia / surgery
Chemical
Reg. No./Substance:
0/Cosmetics

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


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