Document Detail


Results of tibial lengthening with the Ilizarov technique.
MedLine Citation:
PMID:  8742278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Between June 1987 and June 1992, 62 tibiae in 52 patients underwent lengthening by using the Ilizarov technique. Follow-up was from 18 months to 5 years. The mean age at surgery was 12.9 years (range, 5-19). The etiology of limb shortening was congenital in 53 and acquired in nine tibiae. Thirty-five tibiae had bifocal and 27 had unifocal treatment. Twenty-two of the 62 limbs had simultaneous treatment of other associated problems, including rotational or angular deformity or foot deformity. The average lengthening was 7.5 cm (range, 3.5-12), which was equivalent to a 32% average overall increase in limb-segment length (range, 6-96%). Complications required 28 (22%) unplanned procedures in the 62 tibiae, including nine osteotomies for iatrogenic malunion or deformation of regenerate bone (31%). Three tendo Achilles lengthenings and posterior ankle capsulotomies were required for persistent equinus contractures. Bony complications declined as experience with the technique increased. This technique allows simultaneous lengthening correction with control of the adjacent foot when required.
Authors:
D F Stanitski; H Shahcheraghi; D A Nicker; P F Armstrong
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of pediatric orthopedics     Volume:  16     ISSN:  0271-6798     ISO Abbreviation:  J Pediatr Orthop     Publication Date:    1996 Mar-Apr
Date Detail:
Created Date:  1996-10-18     Completed Date:  1996-10-18     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:  168-72     Citation Subset:  IM    
Affiliation:
Department of Orthopaedic Surgery, Children's Hospital of Michigan, Detroit, USA.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Child
Child, Preschool
Female
Follow-Up Studies
Humans
Ilizarov Technique*
Leg Length Inequality / radiography,  surgery*
Male
Postoperative Complications / epidemiology*,  psychology,  surgery
Retrospective Studies
Tibia / radiography,  surgery*
Time Factors
Treatment Outcome

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


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