TREATMENT OF COMPLEX LIMB DEFORMITIES IN CHILDREN WITH THE ILIZAROV TECHNIQUE

Orthopedics ◽  
1991 ◽  
Vol 14 (9) ◽  
pp. 961-967
Author(s):  
Dan Atar ◽  
Wallace B Lehman ◽  
Alfred D Grant ◽  
Allan Strongwater ◽  
Victor Frankel ◽  
...  
Keyword(s):  
Ilizarov Technique ◽  
Limb Deformities

scholarly journals Correction of Complex Lower Limb Deformities by the Ilizarov Technique: An Audit of Complications

2000 ◽  
Vol 8 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Jean-Claude Theis ◽  
H Simpson ◽  
J Kenwright
Keyword(s):  
Lower Limb ◽  
Deformity Correction ◽  
Limb Lengthening ◽  
Bone Transport ◽  
Angular Deformity ◽  
Ilizarov Technique ◽  
Leg Lengthening ◽  
Limb Deformities ◽  
Lower Limb Reconstruction ◽  
Tract Infections

This is an audit of complications resulting from correction of complex lower limb deformities by the Ilizarov technique. 33 patients (40 bone segments) were reviewed and divided into 4 groups according to the type of surgery carried out: limb lengthening and/or correction of deformity, bone or joint stabilisation, treatment of nonunion or bone defect, angular and/or rotation correction. Most minor complications were fixator specific. Pin tract infections were almost universal but responded well to oral antibiotics and rarely resulted in osteomyelitis. Major complications were procedure specific and more common in those patients who underwent leg lengthening, treatment for nonunion and bone transport. There was also a high incidence of nerve injury as a result of acute angular deformity correction. Despite the high complication rate the Ilizarov technique remains an effective tool for complex lower limb reconstruction surgery.

Complications of use of the Ilizarov technique in the correction of limb deformities in children.

1993 ◽  
Vol 75 (8) ◽  
pp. 1148-1156 ◽  
Author(s):  
R J Velazquez ◽  
D F Bell ◽  
P F Armstrong ◽  
P Babyn ◽  
R Tibshirani
Keyword(s):  
Ilizarov Technique ◽  
Limb Deformities

Osteotomy for Correction of Premature Growth Plate Closure in 24 Dogs

1994 ◽  
Vol 07 (03) ◽  
pp. 129-135 ◽  
Author(s):  
C.W. Miller ◽  
P.W. Morgan
Keyword(s):  
Corrective Osteotomy ◽  
Functional Results ◽  
Degenerative Joint Disease ◽  
Joint Disease ◽  
Angular Deformity ◽  
Dynamic Correction ◽  
Age At Surgery ◽  
Limb Deformities ◽  
The Mean ◽  
A Prospective Study

SummaryTwenty-four dogs (27 limbs) were evaluated after surgery for correction of forelimb angular limb deformities. Partial ulnar ostectomies or definitive corrective osteotomies were performed depending upon the age of the dog. According to owner assessment nine of fourteen limbs were considered functionally good, or excellent, after partial ulnar ostectomies. Younger dogs appeared to have better functional results after dynamic correction with the mean age at surgery of dogs with good to excellent results being 6.5 months contrasted to the mean age at surgery of dogs with fair to poor results being 9.75 months. Ten of fourteen limbs were considered functionally good or excellent after definitive corrective osteotomy. One dog had definitive osteotomy after partial ulnar ostectomy in order to further correct a residual angular deformity. However, 58% of the limbs with radiographic follow-up had signs of degenerative joint disease (DJD). There were not significant differences between neither degree of angulation remaining after surgery and the functional result nor the degree of angulation remaining after surgery and the development of DJD. A prospective study is warranted to more objectively assess the efficacy of surgical correction of angular limb deformities in dogs.Twenty-four dogs were evaluated after surgery for correction of forelimb angular limb deformities. The results are described.

Characteristics of Malawian children undergoing corrective bone surgeries of rickets-like lower limb deformities

2015 ◽  
Author(s):  
Vickie S Braithwaite ◽  
Carla L Greenwood ◽  
Nicholas J Bishop ◽  
John Cashman ◽  
Ann Prentice
Keyword(s):  
Lower Limb ◽  
Limb Deformities

scholarly journals The Dynamic Thumb-in-Palm Pattern in Children with Spastic Cerebral Palsy and Its Effects on Upper Limb Function

Children ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 17
Author(s):  
Ja Young Choi ◽  
Dong-Wook Rha ◽  
Seon Ah Kim ◽  
Eun Sook Park
Keyword(s):  
Cerebral Palsy ◽  
Upper Limb ◽  
Multivariable Analysis ◽  
Spastic Cerebral Palsy ◽  
Type I ◽  
Upper Arm ◽  
Limb Function ◽  
Upper Limb Function ◽  
Limb Deformities ◽  
Arm Function

The thumb-in-palm (TIP) pattern is one of the most common upper limb deformities in cerebral palsy (CP). This study was designed to investigate the effect of the dynamic TIP pattern on upper limb function in children with spastic CP. This prospective observational study included a total of 106 children with CP with dynamic TIP. The House TIP classification while grasping small or large objects, Melbourne Assessment of Unilateral Upper Limb Function (MUUL), Shriners Hospital Upper Extremity Evaluation (SHUEE), Zancolli classification for wrist–finger flexor deformity, and degree of swan neck deformity were assessed. Type I was the most common and highest functioning House TIP classification type. However, there were no significant differences in upper arm function between types II, III, and IV. The three components of the SHUEE showed stronger association with MUUL than House TIP and Zancolli classifications. After multivariable analysis, functional use of the wrist–finger and the thumb played a more significant role than the dynamic alignment of the thumb. In conclusion, the House TIP classification is useful to describe the TIP pattern. The SHUEE thumb assessment is a useful tool for reflecting upper arm function. The upper arm function was related more with the associated wrist flexor deformity than dynamic TIP.

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