TY - JOUR
T1 - Complications and outcome of tibial lengthening using the Ilizarov method with or without a supplementary intramedullary nail
T2 - A case-matched comparative study
AU - Sun, X. T.
AU - Easwar, T. R.
AU - Manesh, S.
AU - Ryu, J. H.
AU - Song, S. H.
AU - Kim, S. J.
AU - Song, H. R.
N1 - Copyright:
Copyright 2011 Elsevier B.V., All rights reserved.
PY - 2011/6
Y1 - 2011/6
N2 - We compared the complications and outcome of tibial lengthening using the Ilizarov method with and without the use of a supplementary intramedullary nail. In a retrospective case-matched series assembled from 176 patients with tibial lengthening, we matched 52 patients (26 pairs, group A with nail and group B without) according to the following criteria in order of importance: 1) difference in amount of lengthening (± 2 cm); 2) percentage difference in lengthening (± 5%); 3) difference in patient's age (± seven years); 4) aetiology of the shortening, and 5) level of difficulty in obtaining the correction. The outcome was evaluated using the external fixator index, the healing index and an outcome score according to the criteria of Paley. It was found that some complications were specific to group A or B respectively, but others were common to both groups. The outcome was generally better in lengthenings with a nail, although there was a higher incidence of rectifiable equinus deformity in these patients.
AB - We compared the complications and outcome of tibial lengthening using the Ilizarov method with and without the use of a supplementary intramedullary nail. In a retrospective case-matched series assembled from 176 patients with tibial lengthening, we matched 52 patients (26 pairs, group A with nail and group B without) according to the following criteria in order of importance: 1) difference in amount of lengthening (± 2 cm); 2) percentage difference in lengthening (± 5%); 3) difference in patient's age (± seven years); 4) aetiology of the shortening, and 5) level of difficulty in obtaining the correction. The outcome was evaluated using the external fixator index, the healing index and an outcome score according to the criteria of Paley. It was found that some complications were specific to group A or B respectively, but others were common to both groups. The outcome was generally better in lengthenings with a nail, although there was a higher incidence of rectifiable equinus deformity in these patients.
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U2 - 10.1302/0301-620X.93B6.25521
DO - 10.1302/0301-620X.93B6.25521
M3 - Article
C2 - 21586777
AN - SCOPUS:79956291425
VL - 93 B
SP - 782
EP - 787
JO - Bone and Joint Journal
JF - Bone and Joint Journal
SN - 2049-4394
IS - 6
ER -