| Treatment of congenital pseudarthrosis of the tibia with the Ilizarov technique. Case report and review of the literature. | |
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MedLine Citation:
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PMID: 18072417 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Congenital pseudarthrosis of the tibia continues to pose one of the most difficult problems in paediatric orthopaedic surgery. The surgical procedures most used for treating congenital pseudarthrosis of the tibia are intramedullary nailing associated with bone grafting, vascularized fibular graft and the Ilizarov external circular fixator. Even when union is achieved, the residual deformities in the affected limb often result in significant disability. These deformities include leg-length discrepancy, angular tibial deformities, ankle mortise valgus and fibular non-union. The Ilizarov method allows simultaneous excision of the pseudarthrosis site, correction of the deformity and lengthening. However, refractures, ankle joint stiffness, fibular non-union with progressive ankle valgus are frequent sequelae with the Ilizarov technique. The surgeon should know when to abandon reconstructive procedures and create a more functional patient with an amputation. The authors discuss the indications and results of the Ilizarov external fixator in two patients with this complex problem. In addition, a critical review of the current literature is undertaken. |
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Authors:
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R E C Rose; D E P Wright |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: The West Indian medical journal Volume: 56 ISSN: 0043-3144 ISO Abbreviation: West Indian Med J Publication Date: 2007 Jun |
Date Detail:
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Created Date: 2007-12-12 Completed Date: 2008-01-17 Revised Date: 2008-03-10 |
Medline Journal Info:
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Nlm Unique ID: 0417410 Medline TA: West Indian Med J Country: Jamaica |
Other Details:
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Languages: eng Pagination: 294-9 Citation Subset: IM |
Affiliation:
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Division of Orthopaedics, Department of Surgery, Radiology, Anaesthesia and Intensive Care, The University of the West Indies, Kingston 7, Jamaica, West Indies. recrose@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Bone Diseases, Developmental / surgery* Child External Fixators* Humans Ilizarov Technique Male Orthopedics / methods* Pseudarthrosis / genetics, surgery* Tibia / pathology*, surgery Treatment Outcome* |
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