Treatment of congenital long-bone deformities in children using the consequtive application of guided growth and external fixation: preliminary report
| Autor: | Alexander P. Pozdeev, Timur Faizovich Zubairov, Ekaterina A. Zakharjan, Andrej A. Pozdeev, Victor A. Vilensky |
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| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Long bone Deformity correction guided growth 03 medical and health sciences External fixation 0302 clinical medicine external fixation Preliminary report Guided growth Deformity medicine Orthopedics and Sports Medicine 030212 general & internal medicine Surgical treatment 030222 orthopedics business.industry deformity correction lcsh:RJ1-570 lcsh:Pediatrics Surgery hemiepiphysiodesis medicine.anatomical_structure Pediatrics Perinatology and Child Health medicine.symptom business Complication |
| Zdroj: | Ortopediâ, Travmatologiâ i Vosstanovitelʹnaâ Hirurgiâ Detskogo Vozrasta, Vol 6, Iss 3, Pp 12-24 (2018) |
| ISSN: | 2410-8731 2309-3994 |
| Popis: | Aim. This study aimed to estimate the results of congenital long bone deformities using the consecutive application of guided growth and external fixation. Materials and methods. We performed a retrospective analysis of the treatment results of 38 children with congenital deformities of long bones. Group 1 consisted of 17 children who underwent consecutive application of two methods: guided growth and external fixation. Group 2 (control group) consisted of 21 children who underwent isolated lengthening and deformity correction by external fixation. Results. There were 14 complications in group 1 and 25 complications in group 2. Moreover, only seven cases in group 1 had complications requiring surgical treatment, whereas 17 cases in group 2 required operative treatment for complications. There was a relatively low level of refractures: zero cases in group 1 and three cases in group 2. The most common complication was a recurrence of deformity associated with the continuous growth of children: seven cases in group 1 and eight cases in group 2. However, no recurrence of the torsion component of deformity was observed in any group 1 cases, and repeated guided growth could be performed in the six cases of growing children. Conclusion. The consecutive use of external fixation and guided growth to treat congenital deformities of the lower limbs is a promising direction for pediatric orthopedics because it reduces the incidence of complications. The repeated use of guided growth, because of its minimal invasiveness, is the most effective solution for the recurrence of deformity in a growing child. |
| Databáze: | OpenAIRE |
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