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Correction Of Juxtaarticular Deformities In Children Using The Ilizarov Apparatus
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
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 (5â€“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 19Â° (6Â°â€“31Â°). Acute correction was done in 14 segments and gradual correction in 13 segments. The mean lengthening was 4.2 cm in 12 segments (2â€“8 cm). The mean external fixation time was 161 days (78â€“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)
Issue: Volume 10, Number 4
Date: July 2005
Pages: 360 - 366
Type: Reference Material
Author/Contact: Sakurakichi et al
Institution: Pubmed Abstract
Submitted by: admin
Added: Tue May 09 2006
Last Modified: Sun Jun 06 2010