Document Detail


Correction of tibial deformity in adults.
MedLine Citation:
PMID:  12768470     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Wakyo Sato; Isao Ohnishi; Norihisa Nishimura; Takanobu Nakase; Hiroyuki Tsuchiya; Mitsuru Hirose; Takashi Matsushita; Yasusuke Hirasawa; Kozo Nakamura
Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2003-05-27     Completed Date:  2003-09-17     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9604934     Medline TA:  J Orthop Sci     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  306-12     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Faculty of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
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MeSH Terms
Descriptor/Qualifier:
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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