Optimizing the use of fibula in type II tibial hemimelia: early results
| Autor: | Vrisha Madhuri, Veerappa N. Radhakrishna, Thomas Palocaren |
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| Rok vydání: | 2019 |
| Předmět: |
Male
medicine.medical_specialty Ectromelia Treatment outcome 03 medical and health sciences 0302 clinical medicine medicine Humans Orthopedics and Sports Medicine Fibula Child Retrospective Studies 030222 orthopedics Tibia business.industry Follow up studies Infant Soft tissue Mean age Retrospective cohort study Tibial hemimelia Plastic Surgery Procedures Surgery Treatment Outcome Early results Child Preschool Pediatrics Perinatology and Child Health Female business 030217 neurology & neurosurgery Follow-Up Studies |
| Zdroj: | Journal of Pediatric Orthopaedics B. 28:144-152 |
| ISSN: | 1060-152X |
| DOI: | 10.1097/bpb.0000000000000540 |
| Popis: | We describe a technique for optimal use of fibula in reconstruction of type II tibial hemimelia. Six affected children with mean age of 1.4 years and treated over a 5-year period were reviewed. All underwent staged reconstruction by lowering the fibula to below knee level using Ilizarov soft tissue distraction, transfer of distal fibula under proximal tibia, and foot centralization. Mean follow-up period was 3.6 years (range: 1.6-6.05 years). Mean age at follow-up was 4.4 years, and increase in length was 4.08 cm. Tibiofibular union and foot centralization were universally achieved. Mild residual equinovarus deformity was present in three children and braced. Our technique allowed significant length gain and foot centralization in toddlers without distraction osteogenesis. |
| Databáze: | OpenAIRE |
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