https://scholars.lib.ntu.edu.tw/handle/123456789/632822
標題: | Tibial Lengthening along Submuscular Plate with Simultaneous Acute Tibial Deformity Correction by High-Energy Osteotomy: A Comparative Study | 作者: | Liu, Kuei-Yu KUAN-WEN WU CHIA-CHE LEE Lin, Sheng-Chieh Kuo, Ken N TING-MING WANG |
關鍵字: | angular deformity; high-energy osteotomy; limb lengthening; submuscular plating | 公開日期: | 18-九月-2022 | 出版社: | MDPI | 卷: | 11 | 期: | 18 | 來源出版物: | Journal of clinical medicine | 摘要: | Submuscular plating and osteotomy using power saw have shown the benefits in certain situations of limb lengthening. However, no previous studies combining both procedures have been conducted for acute tibial deformity correction and limb lengthening. Nineteen cases were enrolled in this study. Ten patients received tibial lengthening with acute knee angular deformity correction using high-energy osteotomy (Group 1), and nine patients received tibial lengthening only with osteotomy using multiple drills and osteotome (Group 2). Radiographic parameters retrieved before and after the operation included leg-length discrepancy, tibial length, length gained, mechanical lateral distal femoral angle (mLDFA), medial proximal tibial angle (MPTA), and mechanical axis deviation (MAD). There were significant differences between groups in terms of external fixator index (EFI) (p = 0.013) and healing index (HI) (p = 0.014), but no significance in the length gained (p = 0.356). The latest postoperative mLDFA (p = 0.315), MPTA (p = 0.497), and MAD (p = 0.211) of Group 1 were not distinguishable from Group 2. The functional outcomes were excellent, and there were no permanent complications. Despite showing a longer healing time, this alternative lengthening procedure which combines fixator-assisted plate lengthening in the tibia with simultaneous surgical intervention of acute tibial deformity correction using an oscillating saw is appropriate for patients with leg-length discrepancy and angular deformity of the tibia. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/632822 | ISSN: | 2077-0383 | DOI: | 10.3390/jcm11185478 |
顯示於: | 醫學系 |
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