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Titolo:
The Ilizarov technique for treatment of sequelae of childhood-acquired bone and joint infection
Autore:
Wang, CT; Huang, SC;
Indirizzi:
Taiwan Prov Taipei Hosp, Dept Orthoped Surg, Hsin Chuang, Taipei, Taiwan Taiwan Prov Taipei Hosp Hsin Chuang Taipei Taiwan Chuang, Taipei, Taiwan Natl Taiwan Univ Hosp, Dept Orthoped Surg, Taipei, Taiwan Natl Taiwan UnivHosp Taipei Taiwan Dept Orthoped Surg, Taipei, Taiwan
Titolo Testata:
JOURNAL OF THE FORMOSAN MEDICAL ASSOCIATION
fascicolo: 3, volume: 98, anno: 1999,
pagine: 175 - 182
SICI:
0929-6646(199903)98:3<175:TITFTO>2.0.ZU;2-F
Fonte:
ISI
Lingua:
ENG
Soggetto:
CHILDREN;
Keywords:
Ilizarov technique; bone and joint infection; bone lengthening; limb length discrepancy; external fixator;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
24
Recensione:
Indirizzi per estratti:
Indirizzo: Huang, SC Taiwanaipei,Taipei Hosp, Dept Orthoped Surg, 127 Su Yuan Rd, Hsin Chuang, T Taiwan Prov Taipei Hosp 127 Su Yuan Rd Hsin Chuang Taipei Taiwan
Citazione:
C.T. Wang e S.C. Huang, "The Ilizarov technique for treatment of sequelae of childhood-acquired bone and joint infection", J FORMOS ME, 98(3), 1999, pp. 175-182

Abstract

Bone and joint infections in childhood can result in various sequelae including deformity and limb length discrepancy (LLD). Management of these sequelae is difficult and must be individualized. In this study, we retrospectively examined the efficacy of treatment with Ilizarov techniques in 30 patients suffering from sequelae of bone and joint infections in childhood, treated from 1989 to 1994. These cases comprised 17 hip infections, two septicshoulders, and 11 cases of osteomyelitis (4 femurs, 5 tibiae, 1 humerus, and 1 forearm). All patients had some evidence of LLD. There were 13 cases of hip deformity and 10 cases of unstable hips. There were also 10 cases of angular deformity and five of Inonunion of bone. The mean age at treatment was 21 years. Twenty-eight patients underwent Ilizarov lengthening procedures and 18 of them underwent deformity or instability correction simultaneously. Two patients underwent Ilizarov deformity: correction only. Various tttechniques were used, including Schanz osteotomy plus mid-shaft femoral lengthening and distraction callotasis with and without an intramedullary nail, Postoperative complications included stiffness of joints in six patients, pin tract infection in six, fracture in five e, malunion in five, nonunion in four, callus shortening in four, nerve palsy in two, and over-lengthening in one. The mean duration of follow-up was 72 months. The average length gain was 6.6 cm in shortened bones, with a mean external fixator index of40.5 days/cm. All patients were satisfied with the functional and cosmeticresults. We conclude that Ilizarov techniques are effective in treating sequelae of childhood infections of bones and joints.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 02:54:00