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Long-term outcome lengthening and axis correction with the Ilizarov method in post-inflammatory shortening and
Wiktor Orzechowski1, Leszek Morasiewicz, Robert Kucharski
1Katedra i Klinika Ortopedii i Traumatologii Narzadu Ruchu, Akademia Medyczna, Wrocław.
Insights
The Ilizarov method effectively treats post-inflammatory humerus shortening and deformation, achieving significant limb lengthening and axis correction in pediatric patients. This bone lengthening technique offers a safe and reliable solution for complex limb deformities.
Area of Science:
- Orthopedic surgery
- Pediatric orthopedics
- Limb reconstruction surgery
Background:
- Post-inflammatory shortening and deformation of the humerus often result from damage to the proximal growth plate, commonly due to neonatal staphylococcemia.
- Associated deformities can include femur shortening and hip/knee joint abnormalities.
- This study focuses on osteogenesis for treating humerus post-inflammatory shortening and axis deformation.
Purpose of the Study:
- To evaluate the application and outcomes of osteogenesis using the Ilizarov method for post-inflammatory humerus shortening and axis deformation.
- To assess the effectiveness and safety of this technique in a pediatric cohort.
Main Methods:
- A clinical study involving 23 patients treated between 1995 and 2000.
- Patients presented with post-inflammatory humerus shortening and/or axis deformities.
- The Ilizarov method was employed for limb lengthening and deformity correction.
Main Results:
- Average shortening was 8.5 cm (31.3%); average lengthening achieved was 7.5 cm (40.5%).
- Complete axis correction was achieved in all patients with humerus deformities.
- A low complication rate was observed, with only 2 problems and 2 obstacles reported.
Conclusions:
- The Ilizarov method is a safe and effective treatment for post-inflammatory shortening and axis deformity of the humerus.
- The technique provides significant limb lengthening and axis correction with minimal complications.
- Close monitoring during the distraction process is crucial for successful outcomes in arm lengthening.
Abstract:
Background. Post-inflammatory shortening and deformation of the humerus results from damage to the epiphyseal cartilage of this bone, and in particular to the proximal growth plate, most commonly caused by neonatal staphylococcemia. This is frequently accompanied by shortening of the femur, deformation of the hip and knee joints, the temporo-mandibular joint, and occasionally other joints as well. In the present article the authors present their own experiences with the application of osteogenesis in the post-inflammatory shortening and axis deformation of the humerus.
Material and methods. The clinical material consisted of 23 patients treated during the period 1995-2000 at the institutions represented by the authors in Wroclaw and Lodz. The average shortening was 8,5 cm (31,3%), and the average follow-up period was 2 years.
Results. The average lengthening achieved was 7,5 cm (40,5%), and the average lengthening index was 22,7 days/cm. complete axis correction was achieved in all patients with deformities of the humerus. More exact monitoring of the distraction process is necessary in the arm than in the lower limbs. Only 2 problems and 2 obstacles (according to Paley's classification of complications) were encountered in the course of treatment.
Conclusions. The results obtained indicate that the Ilizarov method is a safe and effective technique for the treatment of shortening and axis deformity of the humerus.