S-Space College of Medicine/School of Medicine (의과대학/대학원) Orthopedic Surgery (정형외과학전공) Journal Papers (저널논문_정형외과학전공)
Refracture after Ilizarov osteosynthesis in atrophic-type congenital pseudarthrosis of the tibia
- Issue Date
- J Bone Joint Surg [Br] 2008;90(4):488-493
- Bone Transplantation/methods ; Braces ; Child ; Child, Preschool ; Female ; Humans ; Internal Fixators ; Male ; Pseudarthrosis/complications/congenital/*radiography ; Recurrence ; Retrospective Studies ; Tibia/*injuries/surgery ; Tibial Fractures/complications/*radiography/surgery ; Treatment Outcome ; Ilizarov Technique/adverse effects
- We investigated patterns of refracture and their risk factors in patients with congenital pseudarthrosis of the tibia after Ilizarov osteosynthesis. We studied 43 cases in 23 patients. Temporal and spatial patterns of refracture and refracture-free survival were analysed in each case. The refracture-free rate of cumulative survival was 47% at five years and did not change thereafter. Refracture occurred at the previous pseudarthrosis in 16 of 19 cases of refracture. The risk of refracture was significantly higher when osteosynthesis was performed below the age of four years, when the tibial cross-sectional area was narrow, and when associated with persistent fibular pseudarthrosis. Refracture occurs frequently after successful osteosynthesis in these patients. Delaying osteosynthesis, maximising the tibial cross-sectional area and stabilising the fibula may reduce the risk of refracture.
- 0301-620X (Print)
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