| Correction of tibial deformity in adults. | |
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MedLine Citation:
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PMID: 12768470 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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This report from five hospitals in Japan describes the results of correcting adult tibial deformities using external fixation. There were 49 patients with 59 lower limb deformities, with trauma being the most common cause of the deformity. Varus angulation was the most common deformity, and the most common magnitude was 11 degrees -30 degrees. Twenty-two patients had a leg-length discrepancy. The aim of the correction was to normalize both the mechanical axis and the inclination of the knee and ankle joints. In 63% of the patients corrections were performed gradually during bone lengthening or acutely after bone lengthening. Altogether, 71% of the patients were completely corrected, and no leg-length discrepancies remained after correction in 47%. Complications were encountered in 22 patients, about half of which were pin tract infections, 28% refractures, and the remainder delayed consolidation or fixator failure. There were no neurological or circulatory complications. The average fixation duration was 9 months. The average hospital charges were 3,740,000 yen in bilateral correction patients and 1,940,000 yen in unilateral correction patients. External fixation can correct not only the mechanical axis and joint inclination but also leg-length discrepancy simultaneously. |
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Authors:
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Wakyo Sato; Isao Ohnishi; Norihisa Nishimura; Takanobu Nakase; Hiroyuki Tsuchiya; Mitsuru Hirose; Takashi Matsushita; Yasusuke Hirasawa; Kozo Nakamura |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association Volume: 8 ISSN: 0949-2658 ISO Abbreviation: J Orthop Sci Publication Date: 2003 |
Date Detail:
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Created Date: 2003-05-27 Completed Date: 2003-09-17 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 9604934 Medline TA: J Orthop Sci Country: Japan |
Other Details:
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Languages: eng Pagination: 306-12 Citation Subset: IM |
Affiliation:
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Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Bone Diseases, Developmental / economics, surgery* Cost of Illness External Fixators Female Hospital Charges Humans Japan Leg Length Inequality / economics, surgery Male Middle Aged Orthopedic Procedures* / economics Osteotomy Retrospective Studies Tibia |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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