Deformity correction by external fixation and/or intramedullary nailing in hypophosphatemic rickets

Hae Ryong Song, Soma Raju VVJ, Satish Kumar, Seok Hyun Lee, Seung-Woo Suh, Jung Ryul Kim, Jun Seok Hong

Research output: Contribution to journalArticle

32 Citations (Scopus)

Abstract

Background: There are many modalities of treatment for complex lower extremity deformity in hypophosphatemic rickets. We evaluated the outcomes of deformity correction using an external fixation and/or intramedullary nailing in hypophosphatemic rickets Patients and methods: 55 segmental deformities (20 femora, 35 tibiae) from 20 patients were examined retrospectively. There were 9 children and 11 adults. Distraction osteogenesis was used in 28 segments and acute deformity correction in 27. External fixation was applied in 24 segments, intramedullary nailing in 6, and external fixation and intramedullary nailing in 25. Results: There were 18 major and 13 minor complications in 26 of 28 segments with distraction osteogenesis, and 13 major and 10 minor complications in 19 of 27 segments with acute correction. Recurrent deformity or refracture occurred in 10 of 21 segments with distraction osteogenesis by external fixation only, 4 of 6 with acute correction by intramedullary nailing, and 1 of 25 with distraction osteogenesis or acute correction by external fixation and intramedullary nailing. Nail-related complications occurred in 3 of 6 with intramedullary nailing and 2 of 25 with external fixation and intramedullary nailing. Interpretation: External fixation and intramedullary nailing can be recommended to prevent complications during or after deformity correction in hypophosphatemic rickets. Copyright

Original languageEnglish
Pages (from-to)307-314
Number of pages8
JournalActa Orthopaedica
Volume77
Issue number2
DOIs
Publication statusPublished - 2006 Apr 1

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

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