Reduced lengthening index by use of bifocal osteotomy in the tibia: comparison of monofocal and bifocal procedures with the Ilizarov external fixator

Acta Orthopaedica Scandinavica
L P Kristiansen, H Steen

Abstract

We lengthened 63 tibial segments in 49 patients, performing a monofocal osteotomy on 31 segments and a bifocal osteotomy on 32 segments. In the monofocal osteotomy group, the average lengthening was 4.8 (2.4-7.1) cm with a lengthening index (LI) of 1.7 (0.9-4.4) months/cm. In the bifocal osteotomy group, the average lengthening was 7.4 (4.9-10.0) cm and with a LI of 1.0 (0.7-2.1) months/cm. The difference in LI between the groups was statistically significant, but more major complications, like persistent ankle joint contracture and pseudarthrosis in the callotasis lengthening zone, occurred with bifocal lengthening.

References

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Citations

Sep 16, 2004·International Orthopaedics·Chanchit Sangkaew
Oct 29, 2011·International Orthopaedics·Ma'ad F Al-SaatiFaisal Al-Saati
Nov 7, 2007·Archives of Orthopaedic and Trauma Surgery·Chang-Wug OhJoo-Chul Ihn
Dec 1, 2009·Archives of Orthopaedic and Trauma Surgery·Marko BumbasirevićHenry Dushan E Atkinson
Jan 26, 2016·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·Massimo Petazzoni
Aug 3, 2011·Strategies in Trauma and Limb Reconstruction·Alexander KirienkoValentina Necci
Aug 26, 2006·Journal of Pediatric Orthopedics·Valentin AntociEllen M Raney
Jul 9, 2005·Journal of Orthopaedic Trauma·Alexander LernerYehuda Ullmann
Oct 28, 2006·Acta Orthopaedica·Leif Pål KristiansenOlav Reikerås
Jan 27, 2011·The Journal of Bone and Joint Surgery. American Volume·Hui Wan ParkKi Seok Lee
Apr 5, 2015·Strategies in Trauma and Limb Reconstruction·Leonard Charles Marais, Nando Ferreira
Aug 15, 2021·Orthopaedics & Traumatology, Surgery & Research : OTSR·Victor RayPierre Journeau

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