Journal of Limb Lengthening & Reconstruction最新文献

{"title":"Epiphysiodesis: Not just for equalization","authors":"Philip K. McClure, J. Herzenberg","doi":"10.4103/jllr.jllr_21_22","DOIUrl":"https://doi.org/10.4103/jllr.jllr_21_22","url":null,"abstract":"","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"44 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115549637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Focal dome condylar osteotomy: Early results of alignment of a combined intra- and extra-articular high tibial osteotomy","authors":"R. Bhadiyadra, A. Apte, M. Chaudhary","doi":"10.4103/jllr.jllr_19_22","DOIUrl":"https://doi.org/10.4103/jllr.jllr_19_22","url":null,"abstract":"Background and Aims: Extra-articular high tibial osteotomies reliably treat varus deformities seen in medial compartment osteoarthritis of knee (MCOA). Recently, attention has turned to the detection and treatment of intra-articular knee deformity to treat MCOA. Tibial condylar valgus osteotomy (TCVO) is an intra-articular osteotomy (IAO) that corrects the varus by elevating the medial tibial condyle and is fixed with a plate. TCVO improves joint line convergence angle (JLCA), spine edge angle (SEA), and spine vertical distance (SVD), which measure intra-articular deformity. It may undercorrect the mechanical axis to <50%. Focal dome condylar osteotomy (FDCO) is recently described and claims to correct both the intra- and extra-articular deformities in MCOA. We aimed to study the immediate results of FDCO and compare its efficacy with TCVO. Patients and Methods: We performed ten FDCO procedures on ten patients over the last year. The mean age was 57 years. We compared the results with a similar retrospective cohort of ten TCVO patients. Results: The mean preoperative (bo) mechanical axis deviation (MAD) in FDCO was −13.8% and improved to 51.6%. TCVO group had a similar mean postoperative (po) MAD of 43.5% (P = 0.38). Although 6 of 10 FDCOs had MAD >50%, only two of TCVOs crossed the midline. The mean bo medial proximal tibial angle in FDCO was 85.9° and improved significantly po to 93°. Hip knee ankle angle, ankle joint line orientation, and knee joint line orientation improved significantly as did JLCA, SEA, and SVD. Condylar plateau angle did not change. Conclusion: FDCO is an IAO with a vertical limb that passes through the lateral tibial spine and a medial curved limb. This single osteotomy can correct the intra-articular and extra-articular varus deformity. Although there was no significant difference in the correction of intra- and extra-articular deformity parameters between FDCO and TCVO, we feel that it was part of our learning curve. FDCO has the potential for better correction of the mechanical axis along with intra-articular deformities.","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133462464","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Continuous irrigation as dead space management for fracture-related Type 1 intramedullary chronic osteomyelitis","authors":"Jan-Petrus Grey, M. Burger, L. Marais, N. Ferreira","doi":"10.4103/jllr.jllr_7_22","DOIUrl":"https://doi.org/10.4103/jllr.jllr_7_22","url":null,"abstract":"Introduction: Dead space management following intramedullary debridement and reaming can be challenging and several alternatives have been described. The main objective of this study was to investigate the clinical outcome and resolution rate in patients treated for fracture-related Cierny and Mader anatomical type 1 intramedullary chronic osteomyelitis by means of continuous irrigation (modified Lautenbach system) as dead space management following intramedullary reaming. Materials and Methods: A consecutive series of thirty patients with Cierny and Mader type 1 chronic osteomyelitis, treated between May 2016 and September 2019, were evaluated retrospectively. Patient history and clinical information, including imaging and laboratory results, were reviewed. Treatment procedures and antibiotic profiles were also recorded. Results: The initial cohort included 30 cases with 18 tibias, 11 femurs, and one humerus. Seven patients were excluded; three patients did not return for follow-up and four patients had <6 months of follow-up. Of the remaining 23 patients, 91% (21/23) achieved resolution of infection over a median follow-up period of 16 months (interquartile range [IQR] 7–21 months). Infecting organisms where isolated in 65% (15/23). The median duration of hospital stay was 6 days (IQR 4–7 days). Postoperative complications were noted in two cases and involved a tibial and femoral refracture, respectively. Both patients however achieved union without recurrence of infection following surgical intervention. Conclusion: Continuous irrigation is a cost-effective single-stage surgical option for dead space management during the treatment of intramedullary chronic osteomyelitis. It provides the advantage of instilling high dose intramedullary antibiotics and negates the need for a second surgical procedure while achieving similar outcomes than other dead space management techniques. Level of Evidence: IV, single-center retrospective study","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"117 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127592151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multicentre Review of Intramedullary Lengthening Nails: A Middle-Income Country Perspective","authors":"N. Ferreira","doi":"10.4103/2455-3719.334377","DOIUrl":"https://doi.org/10.4103/2455-3719.334377","url":null,"abstract":"","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133617173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"New Measurements to Determine Changes after Intra-Articular High Tibial Osteotomy","authors":"M. Chaudhary","doi":"10.4103/2455-3719.334382","DOIUrl":"https://doi.org/10.4103/2455-3719.334382","url":null,"abstract":"","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"158 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132740585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Limb lengthening of a Rare Case of Congenital Femoral Deficiency with an Unstable Knee","authors":"Ricardo Marta","doi":"10.4103/2455-3719.334384","DOIUrl":"https://doi.org/10.4103/2455-3719.334384","url":null,"abstract":"","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125303195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bifocal Femoral Lengthening with Intramedullary Magnetic Lengthening Nail Following Osteotomy Propagation","authors":"A. Thabet","doi":"10.4103/2455-3719.334383","DOIUrl":"https://doi.org/10.4103/2455-3719.334383","url":null,"abstract":"","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"2020 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132405556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Vitamin D Deficiency in Adult Limb Lengthening and Deformity Correction Patients","authors":"Philip K. McClure","doi":"10.4103/2455-3719.334375","DOIUrl":"https://doi.org/10.4103/2455-3719.334375","url":null,"abstract":"","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114624103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Acquired Long Bone Defects Classifications: Literature Review (Part II - Long Bone Defects Around the Joint)","authors":"Anton A. Semenistyy","doi":"10.4103/2455-3719.334374","DOIUrl":"https://doi.org/10.4103/2455-3719.334374","url":null,"abstract":"","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124073828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Are Different High Tibial Osteotomies Needed for Differing Location and Severity of Deformities?","authors":"M. Chaudhary","doi":"10.4103/2455-3719.334362","DOIUrl":"https://doi.org/10.4103/2455-3719.334362","url":null,"abstract":"","PeriodicalId":307806,"journal":{"name":"Journal of Limb Lengthening & Reconstruction","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115065297","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}