Early graft failure in lateral column lengthening
| Autor: | Pete Stasikelis, Ben L. Allen, Aileen M. Danko, Linda I. Pugh |
|---|---|
| Rok vydání: | 2004 |
| Předmět: |
musculoskeletal diseases
Foot Deformities Male medicine.medical_specialty Graft failure Calcaneocuboid joint Radiography Arthrodesis medicine.medical_treatment Osteotomy Transplantation Autologous Bone Lengthening Preoperative Care Medicine Humans Transplantation Homologous Orthopedics and Sports Medicine Orthopedic Procedures Child Retrospective Studies Postoperative Care Bone Transplantation business.industry General Medicine musculoskeletal system Surgery surgical procedures operative medicine.anatomical_structure Treatment Outcome Pediatrics Perinatology and Child Health Female Calcaneus business |
| Zdroj: | Journal of pediatric orthopedics. 24(6) |
| ISSN: | 0271-6798 |
| Popis: | One hundred thirty feet in 96 children (47 girls, 49 boys) treated with lateral column lengthening to correct planovalgus foot deformities were retrospectively reviewed. Sixty-nine feet had lengthening through the neck of the calcaneus (39 allografts, 30 autografts) and 61 feet had calcaneocuboid joint lengthening and arthrodesis (58 allografts, 3 autografts). Radiographic evaluation before surgery, after surgery, and at follow-up was used to determine loss of correction, graft lucencies or fragmentation, and apparent loss of graft length. Collapse (loss of correction with concomitant loss of graft length) was observed between 0.3 and 1.3 years after surgery. Seventeen (29.3%) of the 58 calcaneocuboid joint allografts demonstrated collapse. None of the 69 intracalcaneal grafts (39 allografts, 30 autografts) and none of the 3 calcaneocuboid autografts collapsed. This series suggests that lateral column lengthening through the neck of the calcaneus may provide a more durable correction than lengthening with calcaneocuboid joint fusion. |
| Databáze: | OpenAIRE |
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