Alpha 2.0
Login Register
» Articles » PMID: 16691387

Deformity Correction and Lengthening of Lower Legs with an External Fixator

Overview
Journal Int Orthop
Specialty Orthopedics
Date 2006 May 13
PMID 16691387
Citations 14
Authors
Hidenori Matsubara
Hiroyuki Tsuchiya
Keisuke Sakurakichi
Koji Watanabe
Katsuro Tomita
Affiliations
Soon will be listed here.
Abstract

Deformities combined with shortening in 34 lower limb segments of 28 patients were treated with an Ilizarov external fixator or a Taylor spatial frame at the same level as the osteotomy. We compared an acute correction group (A) with a gradual correction group (G) in patients undergoing deformity correction followed by lengthening. We retrospectively examined the amount of deformity correction, length gained, distraction index, maturation index, and external fixation index in both groups. The mean age of subjects was 12.9 years for A, 17.9 years for G. The mean deformity correction was 17.8 degrees for A, 25.1 degrees for G. Mean lengthening was 5.5 cm for A, 5.0 cm for G. Mean distraction index was 16.4 days/cm for A, 10.6 days/cm for G (P<0.05). Mean maturation index was 40.5 days/cm for A, 29.5 days/cm for G (P=0.081). Mean external fixation index was 58.6 days/cm for A, 42.5 days/cm for G (P<0.05). The distraction index and external fixation index differences between the two groups were statistically significant. Gradual correction may represent a better approach than acute correction with the use of external fixators to treat deformity combined with shortening.

Citing Articles

Correction of severe lower extremity deformity with digital hexapod external fixator based on CT data.

Lu Y, Li J, Qiao F, Xu Z, Zhang B, Jia B Eur J Med Res. 2022; 27(1):252.

PMID: 36397115 PMC: 9670579. DOI: 10.1186/s40001-022-00887-6.

Staged Correction of Severe Recurrent Clubfoot Deformity With Dislocation of the Chopart Joint Using a Hexapod External Fixator and Unconventional Arthrodesis.

Kadado A, Akioyamen N, Garfinkel R, Nahm N, Zeni F J Am Acad Orthop Surg Glob Res Rev. 2022; 6(4).

PMID: 35389910 PMC: 8994081. DOI: 10.5435/JAAOSGlobal-D-21-00116.

Management of Femur and Tibial Leg Length Discrepancies With a Unilateral External Fixator Is Still Viable When More Advanced Techniques and Hardware Are Unavailable or Cost-Prohibitive.

Borici N, Ezeokoli E, Ruci J, Olldashi T Cureus. 2022; 14(1):e21010.

PMID: 35154982 PMC: 8818289. DOI: 10.7759/cureus.21010.

Comparison of treatment indices associated with the correction and lengthening of deformities along various lower limb frontal plane directions.

Hamada T, Matsubara H, Yoshida Y, Ugaji S, Tsuchiya H J Clin Orthop Trauma. 2019; 10(Suppl 1):S57-S61.

PMID: 31695261 PMC: 6823783. DOI: 10.1016/j.jcot.2019.01.003.

Deformity correction and extremity lengthening in the lower leg: comparison of clinical outcomes with two external surgical procedures.

Reitenbach E, Rodl R, Gosheger G, Vogt B, Schiedel F Springerplus. 2016; 5(1):2003.

PMID: 27933259 PMC: 5121109. DOI: 10.1186/s40064-016-3666-3.

References
1.
Fadel M, Hosny G . The Taylor spatial frame for deformity correction in the lower limbs. Int Orthop. 2005; 29(2):125-9. PMC: 3474509. DOI: 10.1007/s00264-004-0611-9. View
2.
Donnan L, Saleh M, Rigby A . Acute correction of lower limb deformity and simultaneous lengthening with a monolateral fixator. J Bone Joint Surg Br. 2003; 85(2):254-60. DOI: 10.1302/0301-620x.85b2.12645. View
3.
Noonan K, Price C, Sproul J, BRIGHT R . Acute correction and distraction osteogenesis for the malaligned and shortened lower extremity. J Pediatr Orthop. 1998; 18(2):178-86. View
4.
Sluga M, Pfeiffer M, Kotz R, Nehrer S . Lower limb deformities in children: two-stage correction using the Taylor spatial frame. J Pediatr Orthop B. 2003; 12(2):123-8. DOI: 10.1097/01.bpb.0000049578.53117.03. View
5.
Sakurakichi K, Tsuchiya H, Uehara K, Kabata T, Tomita K . The relationship between distraction length and treatment indices during distraction osteogenesis. J Orthop Sci. 2002; 7(3):298-303. DOI: 10.1007/s007760200051. View