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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Limb lengthening and deformity correction by the Ilizarov technique in type III fibular hemimelia: An alternative to amputation
Clinical Orthopaedics and Related Research, Volume 469, No. 4, Year 2011
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Description
Background: Fibular hemimelia is partial or total aplasia of the fibula; it represents the most frequent congenital defect of the long bones. It usually is associated with other anomalies of the tibia, femur, and foot. Questions/purposes: We reviewed 32 patients with Type III fibular hemimelia treated by successive lower limb lengthening and deformity correction using the Ilizarov method. We had three aims; first, to analyze complications, including the need for reoperation. The second was to assess knee and ankle function, specifically addressing knee ROM and stability and function of the foot and ankle. The third was assessment of overall patient satisfaction. Patients and Methods: Thirty-two patients underwent 56 tibia lengthenings and 14 ipsilateral femoral lengthenings. Their mean age and mean functional leg-length discrepancy at initial treatment were 6.7 years and 6.2 cm, respectively. Activity level, pain, patient satisfaction with function, pain, and cosmesis, complications, and residual length discrepancy were assessed at the end of treatment. Results: The mean number of surgeries was six per case. The healing index was 44.9 days/cm. Although complications were observed during 60 lengthenings (82%), the highly versatile system overcame most of them. Nearly equal limb length and a plantigrade foot were achieved by 16 patients. For two patients, a Syme's amputation was performed. The outcome was considered satisfactory in 17 patients (53%) and relatively good in eight patients (25%). Conclusions: The Ilizarov technique has satisfactory results for treatment of Type III congenital fibular hemimelia and can be considered a good alternative to amputation. Level of Evidence: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. © The Association of Bone and Joint Surgeons® 2010.
Authors & Co-Authors
Catagni, Maurizio Angelo
Italy, Lecco
Azienda Ospedaliera Ospedale Di Lecco
Radwan, Makram
Egypt, Zagazig
Zagazig University, Faculty of Medicine
Lovisetti, Luigi
Italy, Lecco
Azienda Ospedaliera Ospedale Di Lecco
Guerreschi, Francessco
Italy, Lecco
Azienda Ospedaliera Ospedale Di Lecco
Elmoghazy, Nabil Ahmed
Egypt, Mansoura
Faculty of Medicine
Statistics
Citations: 46
Authors: 5
Affiliations: 3
Identifiers
Doi:
10.1007/s11999-010-1635-7
ISSN:
0009921X
e-ISSN:
15281132
Research Areas
Health System And Policy