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Bone lengthening with extra-articular arthrodesis of the hip using external fixation.

Mesa PA - Strategies Trauma Limb Reconstr (2008)

Bottom Line: Clinical review indicated a significant improvement in physical function and psychological well-being.Complications were more frequent in patients older than 14 years (P = 0.034) as was a higher maturation index (P = 0.021).No additional operations were required to achieve the surgical objective.

View Article: PubMed Central - PubMed

Affiliation: Clinic of Niño ISS "Jorge Bejarano" and Clinic 104 Saludcoop "Jorge Piñeros", Calle 175 No. 17A-11(135), Bogotá, Colombia, pasm@clubcadera.com.

ABSTRACT
This is a case series of 11 children and adolescents who underwent femoral lengthening and percutaneous hip arthrodesis using a method of extra-articular joint compression in combination with callotasis. Clinical review indicated a significant improvement in physical function and psychological well-being. The average lengthening was 5.3 cm or 16% of the initial length. Complications were more frequent in patients older than 14 years (P = 0.034) as was a higher maturation index (P = 0.021). No additional operations were required to achieve the surgical objective.

No MeSH data available.


a Image intensifier record of compression applied across hip during surgery. b Radiograph indicating regenerate length (X) during process of limb reconstruction
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Fig2: a Image intensifier record of compression applied across hip during surgery. b Radiograph indicating regenerate length (X) during process of limb reconstruction

Mentions: An LRS rail fixator (usually 23 cm) is then attached lateral (‘outboard’) to the initial paediatric DAF, sharing the same screws in the femoral diaphysis. The femoral fixation is then completed by adding two additional hydroxyapatite coated screws in the distal femur through the template of the LRS rail fixator. An osteotomy for lengthening is performed at the distal meta-diaphyseal junction using a percutaneous drill and osteotome technique (Figs. 2, 3). The wounds and pin sites are dressed and the limb bandaged.Fig. 2


Bone lengthening with extra-articular arthrodesis of the hip using external fixation.

Mesa PA - Strategies Trauma Limb Reconstr (2008)

a Image intensifier record of compression applied across hip during surgery. b Radiograph indicating regenerate length (X) during process of limb reconstruction
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2553433&req=5

Fig2: a Image intensifier record of compression applied across hip during surgery. b Radiograph indicating regenerate length (X) during process of limb reconstruction
Mentions: An LRS rail fixator (usually 23 cm) is then attached lateral (‘outboard’) to the initial paediatric DAF, sharing the same screws in the femoral diaphysis. The femoral fixation is then completed by adding two additional hydroxyapatite coated screws in the distal femur through the template of the LRS rail fixator. An osteotomy for lengthening is performed at the distal meta-diaphyseal junction using a percutaneous drill and osteotome technique (Figs. 2, 3). The wounds and pin sites are dressed and the limb bandaged.Fig. 2

Bottom Line: Clinical review indicated a significant improvement in physical function and psychological well-being.Complications were more frequent in patients older than 14 years (P = 0.034) as was a higher maturation index (P = 0.021).No additional operations were required to achieve the surgical objective.

View Article: PubMed Central - PubMed

Affiliation: Clinic of Niño ISS "Jorge Bejarano" and Clinic 104 Saludcoop "Jorge Piñeros", Calle 175 No. 17A-11(135), Bogotá, Colombia, pasm@clubcadera.com.

ABSTRACT
This is a case series of 11 children and adolescents who underwent femoral lengthening and percutaneous hip arthrodesis using a method of extra-articular joint compression in combination with callotasis. Clinical review indicated a significant improvement in physical function and psychological well-being. The average lengthening was 5.3 cm or 16% of the initial length. Complications were more frequent in patients older than 14 years (P = 0.034) as was a higher maturation index (P = 0.021). No additional operations were required to achieve the surgical objective.

No MeSH data available.