2 186

Cited 38 times in

Tibial lengthening over an intramedullary nail with use of the Ilizarov external fixator for idiopathic short stature

Authors
 Hui Wan Park  ;  Kyu Hyun Yang  ;  Ki Seok Lee  ;  Sun Young Joo  ;  Yoon Hae Kwak  ;  Hyun Woo Kim 
Citation
 Journal of Bone and Joint Surgery - American Volume, Vol.90A(9) : 1970-1978, 2008 
Journal Title
 Journal of Bone and Joint Surgery - American Volume 
ISSN
 0021-9355 
Issue Date
2008
MeSH
Adolescent ; Adult ; Bone Nails* ; Female ; Growth Disorders/diagnostic imaging ; Growth Disorders/surgery* ; Humans ; Ilizarov Technique* ; Male ; Postoperative Complications ; Radiography ; Retrospective Studies ; Statistics, Nonparametric ; Tibia/diagnostic imaging ; Tibia/surgery* ; Treatment Outcome
Keywords
Adolescent ; Adult ; Bone Nails* ; Female ; Growth Disorders/diagnostic imaging ; Growth Disorders/surgery* ; Humans ; Ilizarov Technique* ; Male ; Postoperative Complications ; Radiography ; Retrospective Studies ; Statistics, Nonparametric ; Tibia/diagnostic imaging ; Tibia/surgery* ; Treatment Outcome
Abstract
BACKGROUND: The details regarding bone formation and complication rates associated with tibial lengthening over an intramedullary nail with use of the Ilizarov external fixator have not been reported, to our knowledge. The purpose of this study was to review our experiences with this procedure, performed in individuals with idiopathic short stature. In addition, we compared the results of lengthening over a nail, in terms of the observed bone formation and the complications, with those of the conventional Ilizarov method. METHODS: Eighty-eight tibiae in forty-four individuals with a mean preoperative height (and standard deviation) of 153.7 +/- 7.2 cm were included in the study. Thirty-two tibial lengthening procedures were performed with the conventional method and fifty-six, with a nail. The increase in the length of the tibia, the external fixation index, the healing index, and complications were assessed. Three specific concerns, including mobility during the lengthening procedure, the time interval before the patient could return to previous activities after completion of the lengthening, and physical activities at the time of final follow-up, were also assessed. RESULTS: The mean final height was 160.1 +/- 7.0 cm, and the mean gain in tibial length was 6.2 cm (20.0%). There was no difference in the mean gain in tibial length or the healing index between the groups; however, the external fixation index was lower and there were fewer complications per tibia in the group treated with the lengthening over a nail. The individuals treated with lengthening over a nail coped better with outdoor activities during the treatment period than the individuals treated with the conventional Ilizarov method; however, there was no difference in the time until the individual returned to previous activities or in the ability to carry out physical activities at the time of final follow-up between the groups. CONCLUSIONS: Tibial lengthening with use of the Ilizarov external fixator over an intramedullary nail results in new bone formation of a quality equal to that obtained with the conventional Ilizarov method; however, it reduces the duration of external fixation and the rate of complications
Full Text
http://jbjs.org/content/90/9/1970
DOI
10.2106/JBJS.G.00897
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kwak, Yoon Hae(곽윤해) ORCID logo https://orcid.org/0000-0002-0596-1228
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Hui Wan(박희완)
Yang, Kyu Hyun(양규현) ORCID logo https://orcid.org/0000-0001-7183-588X
Lee, Ki Seok(이기석)
Joo, Sun Young(주선영)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/106374
사서에게 알리기
  feedback

qrcode

Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.

Browse