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Tytuł oryginału: Long-term results of lower limb lengthening by physeal distraction.
Autorzy: Zarzycki Daniel, Tesiorowski Maciej, Zarzycka Maja, Kacki Wojciech, Jasiewicz Barbara
Źródło: J. Pediatr. Orthop. 2002: 22 (3) s.367-370, il., tab., bibligr. 15 poz.
Sygnatura GBL: 313,480

Hasła klasyfikacyjne GBL:
  • pediatria
  • chirurgia
  • traumatologia i ortopedia

    Typ dokumentu:
  • praca kliniczna
  • praca opublikowana za granicą
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dzieci 2-5 r.ż.
  • dzieci 6-12 r.ż.
  • dzieci 13-18 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Of the many methods of limb elongation, lengthening by physeal distraction is among the newest. The goal of this study was to estimate the long-term results of femoral and tibial lengthening by epiphyseal distraction. The authors examined 40 patients who underwent 24 femoral and 16 tibial lengthenings. The average follow-up period was 9.6 years. An average of 4.6 cm femoral lengthening and 4.7 cm of tibial lengthening was achieved. The femoral healing index was 38.1 days/cm and the tibial healing index was 35.7 days/cm. After lengthening the epiphyseal cartilage started to functin in all patients, and premature growth cartilage fusion was not observed during follow-up. Complications occurred in eight patients during femoral lengthening and in four during tibial lengthening. The authors suggest that physeal distraction is a good method for moderate and simple limb lengthening. Particular care should be applied to knee function, especially during femoral lengthening.


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    Tytuł oryginału: Long-term results of lower limb lengthening by the Wagner method.
    Autorzy: Zarzycki Daniel, Tesiorowski Maciej, Zarzycka Maja, Kacki Wojciech, Jasiewicz Barbara
    Źródło: J. Pediatr. Orthop. 2002: 22 (3) s.371-374, il., tab., bibligr. 19 poz.
    Sygnatura GBL: 313,480

    Hasła klasyfikacyjne GBL:
  • pediatria
  • chirurgia
  • traumatologia i ortopedia

    Typ dokumentu:
  • praca kliniczna
  • praca opublikowana za granicą
  • tytuł obcojęzyczny

    Wskaźnik treści:
  • ludzie
  • dorośli 19-44 r.ż.
  • dzieci 6-12 r.ż.
  • dzieci 13-18 r.ż.
  • płeć męska
  • płeć żeńska

    Streszczenie angielskie: Methods of limb lengthening have been continously modified. The construction of an apparatus for gradual bone distraction was a great improvement. The aim of this study was to evaluate the long-term results of lower limb elongation using the Wagner technique. Between 1983 and 1989, 45 patients underwent surgery in the authors' institution. There were 31 femoral and 15 tibial lengthenings. The operation and lengthening procedure were performed according to the rules published by the method's author. The intended amount of lengthening was achieved in 80 p.c. of patients during tibial elongation and in only 52 p.c. during femoral elongation because of many problems, obstacles, and complications during treatment. A significant percentage of improper (deficient or irregular) new bone formation led to femoral malunin in three patients and to tibial and femoral delayed bone consolidation in six patients. Fast distraction produced great forces on the surrounding joint surfaces, resulting in a limited range of motion and joint stiffness. The Wagner technique does not seem to be effective and is associated with a long duration of treatment and some complications impairing the function of the limb.

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