| Recurrence of axial malalignment after surgical correction in congenital femoral deficiency and fibular hemimelia. | |
| | |
MedLine Citation:
|
PMID: 21537976 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
PURPOSE: Recurrent genu valgum deformity complicates treatment of congenital femoral deficiencies (CFD) and fibular hemimelia (FH). We analysed factors influencing recurrence. METHODS: Patients who underwent limb lengthening or deformity correction for CFD and/or FH were reviewed. Radiographs after surgery and after a minimum of a further six months were analysed. Change in parameters of mechanical axis deviation per month (∆ MAD/month) and of angle per month were calculated. These parameters were tested against cofactors patient age, baseline MAD, type of CFD and FH, severity of ball-and-socket joints, ankle-joint stiffness, absence of cruciate ligaments and resection of the fibular anlage. RESULTS: Recurrent valgus deformity was found in 23 of the 42 limbs included with a mean change of MAD of 23.4 mm (5-60 mm). There was no significant difference between patients with ∆ MAD/month <0.5 mm versus >1 mm regarding MAD in the first radiograph and patient age. CFD cases Pappas types VII and VIII showed a ∆ MAD/month of 1.6 mm, whereas milder cases of Pappas IX showed a ∆ MAD/month of 0.8. Mild FH (type Ia) showed a mean ∆ MAD/month of 0.39 mm, whereas mean ∆ MAD/month for FH type Ib/II was 0.72 mm. In FH type II cases, mean ∆ MAD/month was 0.79 mm after resection of the fibular anlage compared with 1.98 mm in those without resection. CONCLUSIONS: Recurrence in FH and CFD was not dependent on patient age but partly on FH and CFD type. Limbs with more severe ball-and-socket knee joints showed more recurrence. Overcorrection depending deformity type should be performed. |
| | |
Authors:
|
Christof Radler; Giorgio Antonietti; Rudolf Ganger; Franz Grill |
Related Documents
:
|
20719406 - A silicone nasal swab for the treatment of severe and recalcitrant epistaxis in heredit... 21529726 - Elastic properties of aortic wall in patients with bicuspid aortic valve by magnetic re... 21334546 - Upper cervical manipulation combined with mobilization for the treatment of atlantoaxia... 21403546 - Clinical and instrumental evaluation of the temporomandibular joint before and after su... 22776976 - Benign neurological recovery with low recurrence and low peridural fibrosis rate in ped... 21044936 - Impact of early angiographic evaluation on the frequency of emergency reoperations afte... |
Publication Detail:
|
Type: Journal Article Date: 2011-05-03 |
Journal Detail:
|
Title: International orthopaedics Volume: 35 ISSN: 1432-5195 ISO Abbreviation: Int Orthop Publication Date: 2011 Nov |
Date Detail:
|
Created Date: 2011-10-17 Completed Date: 2012-02-07 Revised Date: 2013-02-19 |
Medline Journal Info:
|
Nlm Unique ID: 7705431 Medline TA: Int Orthop Country: Germany |
Other Details:
|
Languages: eng Pagination: 1683-8 Citation Subset: IM |
Affiliation:
|
Department of Pediatric Orthopaedics, Orthopaedic Hospital Speising, Speisinger Strasse 109, 1130, Vienna, Austria. christof.radler@chello.at |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Adolescent Bone Lengthening / adverse effects, methods* Child Child, Preschool Coxa Valga / etiology, pathology* Ectromelia / complications, pathology*, surgery Female Femur / abnormalities*, surgery Fibula / abnormalities*, surgery Humans Lower Extremity Deformities, Congenital / complications, pathology*, surgery Male Postoperative Complications Recurrence Retrospective Studies |
| Comments/Corrections | |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Validation of navigation assisted cup placement in total hip arthroplasty.
Next Document: The composition of upstream open reading frames (uORF) in four genes from Trypanosoma cruzi typical ...