Document Detail


Limb lengthening combined with deformity correction in children with the Taylor Spatial Frame.
MedLine Citation:
PMID:  20739904     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
It is difficult to replicate the regular rate and rhythm described by Ilizarov while lengthening with the Taylor Spatial Frame. The purpose of the study was to examine whether this breach of Ilizarov's principles has any deleterious effect on the ability of children to make healthy regenerate bone. A retrospective case-control study was performed comparing pediatric patients undergoing primarily lengthening with Taylor Spatial Frame rings and struts, and patients undergoing lengthening with Taylor Spatial Frame rings and Ilizarov clickers. Fifteen patients had primarily lengthening with Taylor Spatial Frame rings and struts, and six patients had lengthening with Taylor Spatial Frame rings and Ilizarov clickers. Statistically, there was no significant difference between the two groups in terms of age, latency, pre-operative bone length percentage, and average length gained. The lengthening index for the strut group (1.79 months/cm) was significantly different from the clicker group (1.33 months/cm) with P=0.012. For a pediatric patient with lower extremity long bone deformities in multiple planes, the Taylor Spatial Frame is an excellent option. However, the surgeon should anticipate a slightly longer duration of treatment with the Taylor Spatial Frame compared to Ilizarov frames and plan his/her fixation accordingly. For the straightforward lengthening of pediatric long bones without significant concomitant deformity, our results indicate that the Ilizarov method appears to be superior to the Taylor Spatial Frame struts and should still be considered the gold standard.
Authors:
Christopher Iobst
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics. Part B     Volume:  19     ISSN:  1473-5865     ISO Abbreviation:  J Pediatr Orthop B     Publication Date:  2010 Nov 
Date Detail:
Created Date:  2010-10-04     Completed Date:  2011-02-07     Revised Date:  2012-09-17    
Medline Journal Info:
Nlm Unique ID:  9300904     Medline TA:  J Pediatr Orthop B     Country:  United States    
Other Details:
Languages:  eng     Pagination:  529-34     Citation Subset:  IM    
Affiliation:
Department of Orthopedic Surgery, Miami Children's Hospital, Miami, Florida 33155, USA. christopher.iobst@mch.com
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MeSH Terms
Descriptor/Qualifier:
Bone Lengthening / instrumentation*,  methods
Case-Control Studies
Child
Equipment Design
Equipment Safety
External Fixators*
Female
Follow-Up Studies
Humans
Leg Length Inequality / radiography,  surgery
Lower Extremity Deformities, Congenital / radiography,  surgery*
Male
Postoperative Complications / physiopathology
Retrospective Studies
Risk Assessment
Treatment Outcome

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


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