Deformity correction of knee and leg lengthening by Ilizarov method in hypophosphatemic rickets: Outcomes and significance of serum phosphate level

In Ho Choi, Jae Kwang Kim, Chin Youb Chung, Tae Joon Cho, Seok Hyun Lee, Seung-Woo Suh, Kuhn Sung Whang, Hui Wan Park, Kwang Soon Song

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

The authors evaluated 14 patients with hypophosphatemic rickets who underwent correction of a knee deformity along with a leg lengthening by the Ilizarov method. Deformity correction alone was performed in 8 femora and 4 tibiaefibulae, and concomitant deformity correction and limb lengthening (>1.0 cm) in 9 femora and 19 tibiae-fibulae. The healing index correlated with the biochemical parameters. Knee deformities were satisfactorily corrected in all patients except one. There was a statistically significant negative correlation between the healing index and the serum phosphate level: those who had a serum phosphate level higher than 2.5 mg/dL showed a relatively rapid regenerate bone healing compared with those with less than 2.5 mg/dL. The authors conclude that a serum phosphate level of 2.5 mg/dL as a cut-off point should be considered in deciding whether deformity correction alone or with a concomitant leg lengthening should be undertaken.

Original languageEnglish
Pages (from-to)626-631
Number of pages6
JournalJournal of Pediatric Orthopaedics
Volume22
Issue number5
DOIs
Publication statusPublished - 2002 Sep 1

Fingerprint

Ilizarov Technique
Hypophosphatemic Rickets
Leg
Knee
Phosphates
Femur
Serum
Fibula
Tibia
Extremities
Bone and Bones

Keywords

  • Deformity correction
  • Hypophosphatemic rickets
  • Leg lengthening
  • Serum phosphate

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Deformity correction of knee and leg lengthening by Ilizarov method in hypophosphatemic rickets : Outcomes and significance of serum phosphate level. / Choi, In Ho; Kim, Jae Kwang; Chung, Chin Youb; Cho, Tae Joon; Lee, Seok Hyun; Suh, Seung-Woo; Whang, Kuhn Sung; Park, Hui Wan; Song, Kwang Soon.

In: Journal of Pediatric Orthopaedics, Vol. 22, No. 5, 01.09.2002, p. 626-631.

Research output: Contribution to journalArticle

Choi, In Ho ; Kim, Jae Kwang ; Chung, Chin Youb ; Cho, Tae Joon ; Lee, Seok Hyun ; Suh, Seung-Woo ; Whang, Kuhn Sung ; Park, Hui Wan ; Song, Kwang Soon. / Deformity correction of knee and leg lengthening by Ilizarov method in hypophosphatemic rickets : Outcomes and significance of serum phosphate level. In: Journal of Pediatric Orthopaedics. 2002 ; Vol. 22, No. 5. pp. 626-631.
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