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

DC Field Value Language
dc.contributor.author곽윤해-
dc.contributor.author김현우-
dc.contributor.author박희완-
dc.contributor.author양규현-
dc.contributor.author이기석-
dc.contributor.author주선영-
dc.date.accessioned2015-05-19T16:28:32Z-
dc.date.available2015-05-19T16:28:32Z-
dc.date.issued2008-
dc.identifier.issn0021-9355-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/106374-
dc.description.abstractBACKGROUND: 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-
dc.description.statementOfResponsibilityopen-
dc.format.extent1970~1978-
dc.relation.isPartOfJOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHAdolescent-
dc.subject.MESHAdult-
dc.subject.MESHBone Nails*-
dc.subject.MESHFemale-
dc.subject.MESHGrowth Disorders/diagnostic imaging-
dc.subject.MESHGrowth Disorders/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHIlizarov Technique*-
dc.subject.MESHMale-
dc.subject.MESHPostoperative Complications-
dc.subject.MESHRadiography-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHStatistics, Nonparametric-
dc.subject.MESHTibia/diagnostic imaging-
dc.subject.MESHTibia/surgery*-
dc.subject.MESHTreatment Outcome-
dc.titleTibial lengthening over an intramedullary nail with use of the Ilizarov external fixator for idiopathic short stature-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Orthopedic Surgery (정형외과학)-
dc.contributor.googleauthorHui Wan Park-
dc.contributor.googleauthorKyu Hyun Yang-
dc.contributor.googleauthorKi Seok Lee-
dc.contributor.googleauthorSun Young Joo-
dc.contributor.googleauthorYoon Hae Kwak-
dc.contributor.googleauthorHyun Woo Kim-
dc.identifier.doi10.2106/JBJS.G.00897-
dc.admin.authorfalse-
dc.admin.mappingfalse-
dc.contributor.localIdA01124-
dc.contributor.localIdA00177-
dc.contributor.localIdA01777-
dc.contributor.localIdA02282-
dc.contributor.localIdA02694-
dc.contributor.localIdA03951-
dc.relation.journalcodeJ01275-
dc.identifier.eissn1535-1386-
dc.identifier.pmid18762658-
dc.identifier.urlhttp://jbjs.org/content/90/9/1970-
dc.subject.keywordAdolescent-
dc.subject.keywordAdult-
dc.subject.keywordBone Nails*-
dc.subject.keywordFemale-
dc.subject.keywordGrowth Disorders/diagnostic imaging-
dc.subject.keywordGrowth Disorders/surgery*-
dc.subject.keywordHumans-
dc.subject.keywordIlizarov Technique*-
dc.subject.keywordMale-
dc.subject.keywordPostoperative Complications-
dc.subject.keywordRadiography-
dc.subject.keywordRetrospective Studies-
dc.subject.keywordStatistics, Nonparametric-
dc.subject.keywordTibia/diagnostic imaging-
dc.subject.keywordTibia/surgery*-
dc.subject.keywordTreatment Outcome-
dc.contributor.alternativeNameKwak, Yoon Hae-
dc.contributor.alternativeNameKim, Hyun Woo-
dc.contributor.alternativeNamePark, Hui Wan-
dc.contributor.alternativeNameYang, Kyu Hyun-
dc.contributor.alternativeNameLee, Ki Seok-
dc.contributor.alternativeNameJoo, Sun Young-
dc.contributor.affiliatedAuthorKim, Hyun Woo-
dc.contributor.affiliatedAuthorKwak, Yoon Hae-
dc.contributor.affiliatedAuthorPark, Hui Wan-
dc.contributor.affiliatedAuthorYang, Kyu Hyun-
dc.contributor.affiliatedAuthorLee, Ki Seok-
dc.contributor.affiliatedAuthorJoo, Sun Young-
dc.rights.accessRightsnot free-
dc.citation.volume90A-
dc.citation.number9-
dc.citation.startPage1970-
dc.citation.endPage1978-
dc.identifier.bibliographicCitationJOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, Vol.90A(9) : 1970-1978, 2008-
dc.identifier.rimsid44387-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers

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