Physeal and Subphyseal Distraction Osteogenesis in Atrophic-type Congenital Pseudarthrosis of the Tibia: Efficacy and Safety

Jang, Woo Young; Choi, You–Jin; Park, Moon Seok; Yoo, Won Joon; Cho, Tae Joon; Choi, In Ho

doi:10.1097/bpo.0000000000000979

Cited by 6 publications

(4 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…In 1958, Ring [11] first reported the physeal distraction osteogenesis technology. Because there is a risk of knee joint infection and bone bridge when the proximal tibial epiphyseal plate is lengthened [11][12][13], children's orthopedics doctors rarely carry out this operation. However, in 2013, Vlad [14] and other scholars reported that the physeal distraction Is epiphyseal plate lengthening good to treat CPT patients?…”

Section: Discussionmentioning

confidence: 99%

Is it a good choice for physeal distraction osteogenesis to treat CPT patients with tibial shortening?

Liu¹,

Tan²,

Liu³

et al. 2023

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

The purpose of this study was to evaluate the healing index and complications of distraction osteogenesis through the physis in children with Congenital pseudarthrosis of the tibia (CPT) using Ilizarov external fixation device. Nine children with CPT who underwent distraction osteogenesis through the physis surgery with an Ilizarov external fixation device between June 2018 and August 2020 were included in the study. The average follow-up time was 36.1 months. X-ray examination was performed 1 month after physis lengthening, and the callus quality was evaluated using the Li classification. Any complications and the quality of the callus after tibial lengthening were followed up. The average age at the time of operation was 9.4 years, and the average follow-up time was 36.1 months. The average lengthening length of children with CPT was 6.6 cm. The incidence of good callus morphology was 100%, and the healing index was 51.1 d/cm. The average fixation time of the external fixation device was 316 days. Needle tract infection occurred in one case, ankle stiffness occurred in one case, ankle plantar flexion 20° deformity occurred in one case, angular deformity of the tibial lengthening segment occurred in one case (7°) and limited movement of knee joint occurred in one case (0–20°–70°). The osteogenic quality of the patients of distraction osteogenesis through the physis with tibial shortening and small diameter of the proximal tibia is good, which provides a choice of operation for the children with CPT.

show abstract

Section: Discussionmentioning

confidence: 99%

Is it a good choice for physeal distraction osteogenesis to treat CPT patients with tibial shortening?

Liu¹,

Tan²,

Liu³

et al. 2023

Journal of Pediatric Orthopaedics B

View full text Add to dashboard Cite

show abstract

“…The reasons may be as follows: (1) The treatment of children with CPT is a long-term process. 13 , 14 It requires many operations and the postoperative wearing of an external fixator for a long time. The illness reoccurs easily, infection is common and caregivers have concerns about the prognosis of children with psychological problems; (2) Care for children with CPT requires substantial human and material resources from the family, the costs of surgery and treatment are high, postoperative recovery is uncertain and the need to respond to possible complications and refractures may hinder the formation of family resilience; (3) Related studies have found that with long-term surgery, an unfamiliar environment, long-term postoperative breaking and pain and many other factors, children who have CPT surgery have serious medical fears and strong physiological and psychological stress reactions, which seriously affects their safety, the surgical efficacy and postoperative rehabilitation.…”

Section: Discussionmentioning

confidence: 99%

Analysis of Influencing Factors of Family Resilience in Children with Congenital Tibial Pseudoarthrosis

Xie¹,

Mei²,

Ouyang³

et al. 2022

RMHP

View full text Add to dashboard Cite

Aim To investigate the status of the family resilience score of caregivers of children with congenital pseudarthrosis of the tibia (CPT) and analyse its influencing factors to provide a reference and basis for clinical formulation of a family resilience intervention programme. Methods A total of 379 families of children with CPT were included in this study, which used a combination questionnaire to investigate the families of children with CPT. The researchers sent a link to the questionnaire to all eligible subjects to conduct a survey on the characteristics of families of children with CPT. Single factor analysis was used to compare the total scores of family resilience. Multiple linear regression was used to determine meaningful variables for single factor analysis. Results The average family resilience score was 151.79 ± 30.79, the lowest score was 20 and the highest score was 231. The CPT usually occurred in unilateral limbs (37.63%). The payment methods of medical expenses were through a rural cooperative medical system (44.85%). The caregivers were mostly the mothers (62.80%) and caregivers were 31–40 years old (62.27%). Most caregivers were farmers (30.34%). The average monthly income of the families in the past year was 1000–5000 yuan (54.09%). There were significant differences in family resilience scores between caregivers’ working conditions ( P = 0.039) and average monthly incomes in the past year ( P = 0.008). The working conditions of caregivers and the average monthly income of families in the past year were the main factors affecting the family resilience of caregivers of children with CPT. Conclusion The caregivers’ working conditions and the average monthly income of families were the influencing factors in the family resilience score.

show abstract

“…Bone transport technique, after excision of the pathological bone specimen, can be used to restore the axis and the length discrepancy of the pseudoarthrotic tibia. The Ilizarov method has increased the rate of successful management of the tibial pseudoarthrosis [37,38].…”

Section: Osseous Involvement Of Long Bones 31 Tibiamentioning

confidence: 99%

Bone Lesions in Children with Neurofibromatosis

Laliotis¹

2022

Clinical and Basic Aspects of Neurofibromatosis Type 1

View full text Add to dashboard Cite

Neurofibromatosis is often related with severe orthopaedic disorders in children. Bone lesions are rare but pose severe difficulties in management. It affects the spine and long bones. Lesions are associated either from enlargement of neurofibromas that affect the normal growth or from primary neurofibromatosis of long bones. Dystrophic scoliosis appears with short curves, with kyphosis and rotation of the apical vertebrae. Usually affect the thoracic spine, with penciling of the ribs. Surgical treatment is challenging in cases of rapid progression. Scoliosis may appear with curvatures similar to those in idiopathic scoliosis, without dysplastic changes of the vertebrae. Anterior bowing of the tibia is manifestation of NF and is distinguished from the benign posterolateral bowing. Evaluation of the medullary canal and presence of cystic lesions in the tibia is essential. Progression to pseudoarthrosis or pathologic fracture is common. Surgical management of tibial pseudoarthrosis remains a difficult procedure. Pseudoarthrosis may appear in fibula, radius or ulna but are extremely rare. Irregular eccentric bone cysts in long bones that are commonly diagnosed after a pathologic fracture, must be differentiated for NF. Malignant transformation of neurofibromas must be considered when there is rapid progression of the lesion.

show abstract

Physeal and Subphyseal Distraction Osteogenesis in Atrophic-type Congenital Pseudarthrosis of the Tibia: Efficacy and Safety

Abstract: Level III.

Cited by 6 publications

References 18 publications

Is it a good choice for physeal distraction osteogenesis to treat CPT patients with tibial shortening?

Is it a good choice for physeal distraction osteogenesis to treat CPT patients with tibial shortening?

Analysis of Influencing Factors of Family Resilience in Children with Congenital Tibial Pseudoarthrosis

Bone Lesions in Children with Neurofibromatosis

Contact Info

Product

Resources

About