Document Detail


Distraction osteogenesis using a longitudinal corticotomy.
MedLine Citation:
PMID:  22033609     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this study was to evaluate whether the use of a longitudinal corticotomy (S-Z osteotomy) results in more rapid consolidation following distraction osteogenesis of short tibiae.
METHODS: Sixty-seven lengthening procedures were performed in 51 patients ranging in age from nine to 38 (mean 25) years. Diagnoses included short stature (32 tibiae), postpolio limb deformity (22 tibiae), osteomyelitis (three tibiae), trauma (two tibiae) and other diagnoses (eight tibiae). Forty-five lengthenings were performed via a longitudinal corticotomy, and 22 were performed via a transverse corticotomy. Patients were followed until consolidation of the regenerated bone was noted radiographically (consolidation time). The healing index (consolidation time per centimetre of lengthening) was calculated for each patient and compared between groups.
RESULTS: The healing index was significantly lower in the S-Z group (30.8 ± 9.6 days/cm) than in the transverse corticotomy group (46.8 ± 20.2 days/cm) (p < 0.0001). Mean lengthening was 6.6 (range 2.5-12.5) cm in the S-Z group and 5.8 (range 2.0-12.0) cm in the transverse group (p = 0.28). Mean consolidation time was 6.3 ± 2.8 (range 3-16) months in the S-Z group and 8.1 ± 3.8 (range 3-13.5) months in the transverse group (p = 0.03).
CONCLUSION: The S-Z osteotomy safely reduces consolidation time of regenerative bone during distraction osteogenesis in the tibia relative to a transverse corticotomy.
Authors:
Ma'ad F Al-Saati; Robert A Magnussen; Sebastien Lustig; Rodolphe Testa; Gazal Al-Saati; Faisal Al-Saati
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Publication Detail:
Type:  Journal Article     Date:  2011-10-28
Journal Detail:
Title:  International orthopaedics     Volume:  36     ISSN:  1432-5195     ISO Abbreviation:  Int Orthop     Publication Date:  2012 May 
Date Detail:
Created Date:  2012-04-24     Completed Date:  2013-04-22     Revised Date:  2013-06-27    
Medline Journal Info:
Nlm Unique ID:  7705431     Medline TA:  Int Orthop     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1073-7     Citation Subset:  IM    
Affiliation:
Orthopaedic Surgery, Centre Albert Trillat, Hôpital de la Croix-Rousse, Lyon, France. dr.alsaati@gmail.com
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Bone Regeneration
Child
Female
Follow-Up Studies
Humans
Leg Length Inequality / surgery*
Male
Osteogenesis, Distraction / methods*
Osteotomy / methods*
Retrospective Studies
Tibia / surgery*
Wound Healing
Young Adult
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