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터너 증후군 왜소증에서의 하지 연장술

Other Titles
 Lower Limb Lengthening in Turner Dwarfism 
Authors
 한수봉  ;  김주영  ;  김현우  ;  박희완 
Citation
 Journal of the Korean Orthopaedic Association (대한정형외과학회지), Vol.39(2) : 192-197, 2004 
Journal Title
 Journal of the Korean Orthopaedic Association (대한정형외과학회지) 
ISSN
 1226-2102 
Issue Date
2004
Keywords
Turner dwarfism ; Lower limb lengthening
Abstract
Purpose: The aim of this study was to review our cases of lower limb lengthening to treat Turner dwarfism, and to speculate whether or not effective limb lengthening can be achieved in this rare condition. Materials and Methods: 12 tibiae and 2 femora were lengthened in 6 patients using the Ilizarov method for tibia and a gradual elongation nail for the femur. Mean age at the time of surgery was 19 years. Results: The average gain in tibial and femoral lengths were 6.2 cm and 6.0 cm, respectively. The average healing indices of tibia and femur were 1.9 and 1.7 months. The average tibia-to-femur ratio improved from 0.68 to 0.81 and leg-trunk ratios improved from 0.88 to 0.99. Two segment (14.3%) had intractable pin site infection, and four segments (35.7%) had twelve complications. The patients showing a nonunion at the distraction site had a reduced bone mass, which was less than 65% of that of the age-matched normal population. Conclusion: Despite complications, all patients were satisfied with this results, and lower limb lengthening in Turner Dwarfism is believed to be a valid option. However, it may require careful managment in a specialist unit in order to prevent complications.
Files in This Item:
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Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Orthopedic Surgery (정형외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Hyun Woo(김현우) ORCID logo https://orcid.org/0000-0001-8576-1877
Park, Hui Wan(박희완)
Hahn, Soo Bong(한수봉)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/112344
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