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Treatment of Congenital Leg Length Discrepancies in Children Using an Ilizarov External Fixator: A Comparative Study
Bojan Bukva
orcid.org/0000-0001-6089-9474
; Department of Pediatric Orthopaedic Surgery, University Children’s Hospital, Belgrade, Serbia
Goran Vrgoč
orcid.org/0000-0002-4541-4659
; Department of Orthopaedic Surgery, University Hospital Sveti Duh, Zagreb, Croatia
Radivoj Brdar
; Department of Pediatric Orthopaedic Surgery, University Children’s Hospital, Belgrade, Serbia
Siniša Dučić
; Department of Pediatric Orthopaedic Surgery, University Children’s Hospital, Belgrade, Serbia
Gordan Gulan
; Clinic for Orthopaedic Surgery »Lovran«, School of Medicine, University of Rijeka, Rijeka, Croatia
Hari Jurdana
; Clinic for Orthopaedic Surgery »Lovran«, School of Medicine, University of Rijeka, Rijeka, Croatia
Sažetak
The purpose of this study was to evaluate the infl uence of intramedullary (IM) alignment used in combination with
an Ilizarov external fi xation on the healing index (HI) and lengthening index (LI) in the treatment of congenital leg length
discrepancies (LLD). This study included 35 patients aged from 3.5 to 19 (average age 10.73) who underwent the egalisation
procedure using an Ilizarov external fi xator. We compared the duration of the external fi xator application, LLD, HI
and LI between two groups of children: children in Group I underwent limb lengthening by the conventional llizarov
technique using an Ilizarov external fi xator alone, and children in Group II underwent a combination of Ilizarov technique
and intramedullary alignment with two Kirschner wires, introduced through two mini-incisions. We found signifi cant
differences between the two groups of patients for duration of external fi xator application and HI. Patients with congenital
LLD treated with combined method of treatment had benefi t from intramedullary alignment due to its better outcome.
Ključne riječi
leg length discrepancy; Ilizarov external fi xator; children
Hrčak ID:
147454
URI
Datum izdavanja:
26.12.2014.
Posjeta: 1.049 *