ABSTRACT
The aim of this study is to evaluate the long-term results of management of fibular hemimelia (Achterman-Kalamchi type-II) using the Ilizarov method. We reviewed 157 consecutive patients (180 limb segments) with a mean follow-up period of 10.7 years (1.2-21 years). The results were favorable. Although, this type of management is technically demanding and entails a lengthy procedure with many complications anticipated, the Ilizarov lengthening after limb reconstruction is still an option for management of this type of limb deficiency.
Subject(s)
Ectromelia/surgery , Fibula/surgery , Ilizarov Technique , Limb Salvage/methods , Osteogenesis, Distraction/methods , Plastic Surgery Procedures , Adolescent , Child , Child, Preschool , Female , Fibula/abnormalities , Follow-Up Studies , Humans , Infant , Male , Retrospective Studies , Treatment OutcomeABSTRACT
From 1998 to 2001, 112 lengthening procedures with or without deformity correction were performed in 108 children by external fixation with the Ilizarov method. Of these cases, 16.9% did not lead to a solid bone consolidation. Two children were operated the second time, mainly because of the parent's decision. Seventeen delayed unions or nonunions in 13 children were treated with low-intensity pulsed ultrasound. All 17 cases healed within 3 to 12 months without any risk of surgical intervention.
