دورية أكاديمية

Efficacy of the 'Eiffel tower' double titanium elastic nailing in combined management of congenital pseudarthrosis of the tibia: preliminary outcomes of 17 cases with review of literature

التفاصيل البيبلوغرافية
العنوان: Efficacy of the 'Eiffel tower' double titanium elastic nailing in combined management of congenital pseudarthrosis of the tibia: preliminary outcomes of 17 cases with review of literature
المؤلفون: Xiaoyu Wang, Li Shi, Rui Zhang, Wenbo Wang, Feng Wang, Mengwei Wang, Ze Xu, Rongtai Zuo, Jia Xu, Qinglin Kang
المصدر: BMC Musculoskeletal Disorders, Vol 22, Iss 1, Pp 1-11 (2021)
بيانات النشر: BMC, 2021.
سنة النشر: 2021
المجموعة: LCC:Diseases of the musculoskeletal system
مصطلحات موضوعية: Congenital pseudarthrosis of the tibia (CPT), Intramedullary rod (IM rod), The “Eiffel tower” technique, Titanium elastic nail (TEN), Ilizarov technique, Diseases of the musculoskeletal system, RC925-935
الوصف: Abstract Background Difficulty in obtaining union, recurrent fractures, and residual deformities remain the problems challenging the management of congenital pseudarthrosis of the tibia (CPT). We applied the “Eiffel Tower” double titanium elastic nails (TENs) in the existing combined approach, which takes advantages of TEN’s mechanical stability with the protection against refracture, Ilizarov’s high fusion rate with alignment control and the biologic environment provided by bone grafting for bony union. The results of this procedure are presented and discussed. Methods Seventeen patients with CPT treated by combined surgery including pseudarthrosis resection, the “Eiffel Tower” double TENs technique, autogenous iliac bone grafting, and Ilizarov fixation between 2013 and 2019 were retrospectively investigated. Signs of bone union, limb length discrepancy (LLD), rate of refracture, and degree of residual deformities were reviewed. The AOFAS Ankle Hindfoot scale and measurement of ankle motion were used to evaluate ankle function. The mean follow-up time was 40.5 (11 to 91) months. Results The mean age at index surgery was 6.2 (2.5 to 15) years. Union of the pseudarthrosis was achieved in 100% of cases. Among them, 15 (88.2%) patients obtained union of the pseudarthrosis on the first attempt (primary union). The average time to primary union was 3.8 (2 to 6) months. The rest 2 cases achieved union after additional surgeries (secondary union). In terms of complications, refracture occurred in 2 patients (11.8%) and 4 patients (23.5%) developed pin infection. The mean limb length discrepancy at the final follow up was 33.4 (6–141) mm. The average AOFAS score improved from 38.2 (27 to 51) pre-operatively to 77 (63 to 87) post-operatively (p
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 1471-2474
Relation: https://doaj.org/toc/1471-2474
DOI: 10.1186/s12891-021-04382-7
URL الوصول: https://doaj.org/article/e223c6053b1b4f4f9b1a4c2304c8e9b5
رقم الأكسشن: edsdoj.223c6053b1b4f4f9b1a4c2304c8e9b5
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:14712474
DOI:10.1186/s12891-021-04382-7