Lengthening of short bones by distraction osteogenesis—results and complications

Erdem, Mehmet; Şen, Cengiz; Eralp, Levent; Kocaoğlu, Mehmet; Özden, Vahit Emre

doi:10.1007/s00264-007-0491-x

Cited by 32 publications

(27 citation statements)

References 21 publications

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“…The major complications specially related to pin/wire site infec tion (only 2) are on lower side as compared with litera ture. 3,7,8,1014 Overall results in terms of radiological and clinical outcomes are also comparable with other similar studies.…”

supporting

confidence: 79%

“…One of the recent developments to decrease the time that patients spend in the frame is the combined use of external fixator and internal fixation, such as an intramedullary nail. 3,15,16 These can be used sequentially (lengthening and then nailing) or simultane ously (lengthening over the nail). These approaches elimi nate the bulky frame while at the same time protecting the still unstable callus site from fracture.…”

Section: 71015mentioning

confidence: 99%

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Study on Outcome of Complex Lower Limb Problems treated by Ring External Fixator and Evolvement of Practices toward its Acceptability

Shrivastava¹,

Khan²,

Rathi³

et al. 2017

The Journal of Medical Sciences

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Introduction:In the developing world, there is still lack of accessibility and availability of adequate health care. In rural population this further gets limited, due to meager immediate resource at disposition and lack of availability of transports to adequate set ups. This cross-sectional study is undertaken among our rural patients who had undergone this treatment to understand what difficulties they had faced during such treatments and their acceptability toward such treatment. This study was undertaken with the aim to find out the acceptability and adaptability among the rural population for Ilizarov ring fixators. Materials and methods:The study consisted of 88 consecutive cases (91 lower limbs) of all age groups, who completed the treatment by Ilizarov methodology between July 2005 and July 2012. A retrospective analysis of the procedure was done through the medical records in terms of preoperative, intra operative, and after the complete treatment. These were analyzed for limb lengthening in centimeters, correction of deformities, total wearing duration, and final outcome. Subsequently, these patients/parents were interviewed with a questionnaire to assess the self-accessibility (ease) toward self-care; selfdistraction; self-adaptability-comfort during wearing time and the difficulties faced. Results:Overall the functional outcome was excellent in 18, good in 50, fair in 8, and poor in 4. Out of 91 patients, 67 (73.6%) followed up and could be evaluated for adaptability toward Ilizarov fixator. Overall, 91.04% were satisfied with the treatment by Ilizarov fixator. In the remaining the main reason for not accepting the Ilizarov method was difficulty in commuting in the public transport, ugly and threatening looks of fixator with so many wires crossing the leg. Conclusion:Ilizarov method is a very effective tool for managing the complex lower limb problems, especially among the population with low resources. It will ensure delivery of a very low-cost solution offered to the needy patients, wherein otherwise due to multiplicity of problems, integral solution is difficult to achieve within their resources.

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supporting

confidence: 79%

Section: 71015mentioning

confidence: 99%

Study on Outcome of Complex Lower Limb Problems treated by Ring External Fixator and Evolvement of Practices toward its Acceptability

Shrivastava¹,

Khan²,

Rathi³

et al. 2017

The Journal of Medical Sciences

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“…Unlike other hand fixators that mostly allow only linear lengthening, 9 one of the principle features of the modified mini-fixator set proposed is its versatility that provides assemblies for lengthening of phalanges and metacarpal bones, deformity correction as well as for interphalangeal skin growth and stretching. 4,5 The modified variant of the mini-fixator provides more rigidity of fixation and reduces wire strain on the short bone as compared with the Ilizarov mini-fixator.…”

Section: Discussionmentioning

confidence: 99%

Phalangeal Lengthening Techniques for Brachydactily and Posttraumatic Digital Stumps With the Use of a Modified External Mini-Fixator

Danilkin

2016

Techniques in Hand &Amp; Upper Extremity Surgery

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Distraction osteogenesis has become the most used method for bone lengthening and deformity correction including the bones of the hand and foot. The principle techniques used for hand bone lengthening in posttraumatic and congenital conditions using available external fixators are based on this method. We present the technical specifications and surgical techniques with the use of a mini-fixator that was specially designed for short tubular bones. The surgical techniques of lengthening and web space skin stock creation for future web-pasty are supplied with the diagrams of their application to phalanges and illustrative clinical cases. Between 1999 and 2012, this mini-fixator was used for lengthening of 223 finger segments at our hospital and provided improvement of the hand esthetics and functions.

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“…The deformity reportedly is caused by premature closure of the epiphyseal plate, but the etiology of which is not known. 6,7 Brachymetatarsia is abnormal shortness of a metatarsal bone.…”

Section: Discussionmentioning

confidence: 99%

“…4,5 The deformity reportedly is caused by premature closure of the epiphyseal plate, but the etiology of which is not known. 6,7 …”

Section: Introductionmentioning

confidence: 99%

A rare case of bilateral idiopathic brachymetacarpia and brachymetatarsia

Aski

Patil

et al. 2014

Int J Adv Med

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Lengthening of short bones by distraction osteogenesis—results and complications

Cited by 32 publications

References 21 publications

Study on Outcome of Complex Lower Limb Problems treated by Ring External Fixator and Evolvement of Practices toward its Acceptability

Study on Outcome of Complex Lower Limb Problems treated by Ring External Fixator and Evolvement of Practices toward its Acceptability

Phalangeal Lengthening Techniques for Brachydactily and Posttraumatic Digital Stumps With the Use of a Modified External Mini-Fixator

A rare case of bilateral idiopathic brachymetacarpia and brachymetatarsia

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