Complications in limb-lengthening procedures: a review of 49 cases (Journal article)

Hantes, M. E./ Malizos, K. N./ Xenakis, T. A./ Beris, A. E./ Mavrodontidis, A. N./ Soucacos, P. N.


The purpose of this study was to examine the nature and number of complications relative to magnitude of limb lengthening. Results and complications of 50 limb-lengthening procedures were analyzed. There were 49 patients. Mean age was 21 years (range, 7-48 years). Lengthening was performed in 24 femora, 18 tibiae, 4 humerii, 3 radii, and 1 ulna. Average length gained was 5 cm (range, 3-15 cm) at average follow-up of 48 months (range, 12-76 months). Desired length was accomplished in all but 1 patient. The 69 complications varied in severity, but only 5 of these significantly impaired end results. The most serious complications occurred in patients with >30% bone lengthening. Patients with <15% lengthening had a significantly decreased complication rate. The healing index was lower in children. We conclude that incidence and severity of complications after limb-lengthening procedures are significantly influenced by relative lengthening of bone.
Institution and School/Department of submitter: Πανεπιστήμιο Ιωαννίνων. Σχολή Επιστημών Υγείας. Τμήμα Ιατρικής
Keywords: Adolescent,Adult,Age Distribution,Bone Lengthening/*adverse effects/*methods,Child,Female,Humans,Incidence,Leg Length Inequality/*surgery,Male,Middle Aged,Postoperative Complications/*epidemiology,Probability,Prognosis,Retrospective Studies,Risk Factors,Severity of Illness Index,Sex Distribution,Treatment Outcome
URI: http://olympias.lib.uoi.gr/jspui/handle/123456789/22870
ISSN: 1078-4519
Link: http://www.ncbi.nlm.nih.gov/pubmed/11411874
Appears in Collections:Άρθρα σε επιστημονικά περιοδικά ( Ανοικτά)

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