Orthopedics > OCOSH Classification > Orthopaedic Procedures > Deformity Correction > Correction Of Juxtaarticular Deformities In Children Using The Ilizarov Apparatus

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Correction Of Juxtaarticular Deformities In Children Using The Ilizarov Apparatus

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Location: http://www.ncbi.nlm.nih.gov/pubmed/16075167

Description: Correction of juxtaarticular deformities in children using the Ilizarov apparatus Keisuke Sakurakichi1, Hiroyuki Tsuchiya1 , Tamon Kabata1, Teruhisa Yamashiro1, Koji Watanabe1 and Katsuro Tomita1 (1) Department of Orthopaedic Surgery, School of Medicine, Kanazawa University, 13-1 Takara-machi, Kanazawa 920-8641, Japan Received: 20 February 2004 Accepted: 11 April 2005 Abstract Background Deformity correction using external fixation was performed for various disorders in children. We reviewed 18 children who underwent juxtaarticular deformity correction using the Ilizarov apparatus with either a transverse or focal dome osteotomy. The amount of deformity correction, external fixation time, external fixation index, length gained, and incidence of complications were examined. Methods A series of 27 operations were performed in lower limb segments on 10 femurs and 17 tibias in 10 boys and 8 girls. The mean age at operation was 12 years (5–18 years). Deformity corrections were performed using a transverse osteotomy in 16 segments and a focal dome osteotomy in 11. Results The average deformity corrected was 19° (6°–31°). Acute correction was done in 14 segments and gradual correction in 13 segments. The mean lengthening was 4.2 cm in 12 segments (2–8 cm). The mean external fixation time was 161 days (78–352 days). In acute corrections, the external fixation time with a focal dome osteotomy (101 days) tended to be shorter than with a transverse osteotomy (142 days). Conclusions Accurate limb alignment was obtained for all cases. A focal dome osteotomy by maximizing the area of bony contact was more effective than a transverse osteotomy for acute deformity correction. Journal of Orthopaedic Science Publisher: Springer Tokyo ISSN: 0949-2658 (Paper) 1436-2023 (Online) DOI: 10.1007/s00776-005-0908-6 Issue: Volume 10, Number 4 Date: July 2005 Pages: 360 - 366

Type: Reference Material
Author/Contact: Sakurakichi et al
Institution: Pubmed Abstract
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Language: English

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Added: Tue May 09 2006
Last Modified: Sun Jun 06 2010