Refracture after Ilizarov osteosynthesis in atrophic-type congenital pseudarthrosis of the tibia

被引：49

作者：

Cho, T. -J. ^{[1
]}

Choi, I. H. ^{[1
]}

Lee, S. M. ^{[1
]}

Chung, C. Y. ^{[1
,2
]}

Yoo, W. J. ^{[1
]}

Lee, D. Y. ^{[1
]}

Lee, J. W. ^{[1
,3
]}

机构：

[1] Seoul Natl Univ, Childrens Hosp, Seoul 110744, South Korea

[2] Seoul Natl Univ, Bundang Hosp, Songnam 463707, Gyeonggi Do, South Korea

[3] Korea Univ, Dept Stat, Seoul 136701, South Korea

来源：

JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME | 2008年 / 90B卷 / 04期

关键词：

D O I：

10.1302/0301-620X.90B4.20153

中图分类号：

R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学（修复外科学）];

学科分类号：

摘要：

We investigated patterns of refracture and their risk factors in patients with congenital pseudarthrosis of the tibia after Ilizarov osteosynthesis. We studied 43 cases in 23 patients. Temporal and spatial patterns of refracture and refracture-free survival were analysed in each case. The refracture-free rate of cumulative survival was 47% at five years and did not change thereafter. Refracture occurred at the previous pseudarthrosis in 16 of 19 cases of refracture. The risk of refracture was significantly higher when osteosynthesis was performed below the age of four years, when the tibial cross-sectional area was narrow, and when associated with persistent fibular pseudarthrosis. Refracture occurs frequently after successful osteosynthesis in these patients. Delaying osteosynthesis, maximising the tibial cross-sectional area and stabilising the fibula may reduce the risk of refracture.

引用

页码：488 / 493

页数：6

共 24 条

[1] USE OF AN INTRAMEDULLARY ROD FOR THE TREATMENT OF CONGENITAL PSEUDOARTHROSIS OF THE TIBIA
ANDERSON, DJ
SCHOENECKER, PL
SHERIDAN, JJ
RICH, MM
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1992, 74A (02) : 161 - 168
[2] INTRAMEDULLARY FIXATION FOR CONGENITAL PSEUDOARTHROSIS OF THE TIBIA
BAKER, JK
CAIN, TE
TULLOS, HS
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1992, 74A (02) : 169 - 178
[3] Congenital pseudarthrosis of the tibia associated with neurofibromatosis-1: Treatment with Ilizarov's device
Boero, S
Catagni, M
Donzelli, O
Facchini, R
Frediani, PV
[J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1997, 17 (05) : 675 - 684
[4] BOYD HB, 1958, J BONE JOINT SURG AM, V40, P1245, DOI 10.2106/00004623-195840060-00006
[5] BOYD HB, 1982, CLIN ORTHOP RELAT R, V166, P5
[6] CONGENITAL PSEUDOARTHROSIS OF THE TIBIA - TREATMENT BY TRANSFER OF THE IPSILATERAL FIBULA WITH VASCULAR PEDICLE
COLEMAN, SS
COLEMAN, DA
[J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1994, 14 (02) : 156 - 160
[7] Neurofibromatosis update
Crawford, Alvin H.
Schorry, Elizabeth K.
[J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 2006, 26 (03) : 413 - 423
[8] Use of an intramedullary rod for treatment of congenital pseudarthrosis of the Tibia - A long-term follow-up study
Dobbs, MB
Rich, MM
Gordon, JE
Szymanski, DA
Schoenecker, PL
[J]. JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 2004, 86A (06) : 1186 - 1197
[9] CONGENITAL PSEUDARTHROSIS OF THE TIBIA - TREATMENT WITH FREE VASCULARIZED FIBULAR GRAFTS
DORMANS, JP
KRAJBICH, JI
ZUKER, R
DEMUYNK, M
[J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1990, 10 (05) : 623 - 628
[10] TREATMENT OF CONGENITAL PSEUDARTHROSIS WITH THE ILIZAROV TECHNIQUE
FABRY, G
LAMMENS, J
VANMELKEBEEK, J
STUYCK, J
[J]. JOURNAL OF PEDIATRIC ORTHOPAEDICS, 1988, 8 (01) : 67 - 70

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