Document Detail

Deformity correction of knee and leg lengthening by Ilizarov method in hypophosphatemic rickets: outcomes and significance of serum phosphate level.
MedLine Citation:
PMID:  12198465     Owner:  NLM     Status:  MEDLINE    
The authors evaluated 14 patients with hypophosphatemic rickets who underwent correction of a knee deformity along with a leg lengthening by the Ilizarov method. Deformity correction alone was performed in 8 femora and 4 tibiae-fibulae, and concomitant deformity correction and limb lengthening (>1.0 cm) in 9 femora and 19 tibiae-fibulae. The healing index correlated with the biochemical parameters. Knee deformities were satisfactorily corrected in all patients except one. There was a statistically significant negative correlation between the healing index and the serum phosphate level: those who had a serum phosphate level higher than 2.5 mg/dL showed a relatively rapid regenerate bone healing compared with those with less than 2.5 mg/dL. The authors conclude that a serum phosphate level of 2.5 mg/dL as a cut-off point should be considered in deciding whether deformity correction alone or with a concomitant leg lengthening should be undertaken.
In Ho Choi; Jae Kwang Kim; Chin Youb Chung; Tae-Joon Cho; Seok Hyun Lee; Seong Woo Suh; Kuhn Sung Whang; Hui Wan Park; Kwang Soon Song
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  22     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    2002 Sep-Oct
Date Detail:
Created Date:  2002-08-28     Completed Date:  2002-10-24     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8109053     Medline TA:  J Pediatr Orthop     Country:  United States    
Other Details:
Languages:  eng     Pagination:  626-31     Citation Subset:  IM    
Department of Orthopaedic Surgery, Seoul National University Children's Hospital, Seoul, Korea.
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MeSH Terms
Hypophosphatemia, Familial / physiopathology,  surgery*
Ilizarov Technique*
Joint Deformities, Acquired / surgery*
Knee Joint*
Phosphates / blood*
Reg. No./Substance:

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