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[PMID]:29310407
[Au] Autor:Jin S; Cai H; Xu Y
[Ad] Endereço:Department of Pediatric Orthopedics, Shanghai Children's Medical Center, Shanghai Jiaotong University School of Medicine, Shanghai, P.R. China.
[Ti] Título:Shoulder dislocation combined with proximal humerus fracture in children: A case report and literature review.
[So] Source:Medicine (Baltimore);96(48):e8977, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:RATIONALE: Proximal humerus fracture occuring simultaneously with dislocation of a shoulder in children is extremely rare, with only a few recent reports of on such cases having been reported. PATIENT CONCERNS: A 6-year-old girl fell from a ladder and landed on her dominant right arm with pain in the right shoulder and unable to perform movements; her shoulder did not allow for passive movements as well. DIAGNOSES: Proximal humerus fracture combined with shoulder dislocation. INTERVENTIONS: The patient was treated with open reduction, elastic stable intramedullary nail (ESIN) fixation, immobilization with U-shape cast and shoulder spica brace. OUTCOMES: The patient was pain-free, with full range movement of the injured shoulder and no sign of avascular necrosis in a 2-year follow-up period. LESSONS: We recommend open reduction with ESIN fixation for severely displaced proximal humeral metaphyseal fractures with shoulder dislocation in children. Preoperative bilateral anteroposterior shoulders x-ray is needed to confirm the shoulder location.
[Mh] Termos MeSH primário: Luxação do Ombro/complicações
Luxação do Ombro/terapia
Fraturas do Ombro/complicações
Fraturas do Ombro/cirurgia
[Mh] Termos MeSH secundário: Acidentes por Quedas
Moldes Cirúrgicos
Criança
Feminino
Fixação Interna de Fraturas
Seres Humanos
Redução Aberta
Luxação do Ombro/diagnóstico por imagem
Fraturas do Ombro/diagnóstico por imagem
[Pt] Tipo de publicação:CASE REPORTS; JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008977


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[PMID]:29305459
[Au] Autor:Talbot C; Davis N; Majid I; Young M; Bouamra O; Lecky FE; Jones S
[Ad] Endereço:Royal Manchester Children's Hospital, Oxford Road, Manchester M13 9WL, UK.
[Ti] Título:Fractures of the femoral shaft in children: national epidemiology and treatment trends in England following activation of major trauma networks.
[So] Source:Bone Joint J;100-B(1):109-118, 2018 Jan.
[Is] ISSN:2049-4408
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIMS: The aim of this study was to describe the epidemiology of closed isolated fractures of the femoral shaft in children, and to compare the treatment and length of stay (LOS) between major trauma centres (MTCs) and trauma units (TUs) in England. PATIENTS AND METHODS: National data were obtained from the Trauma and Audit Research Network for all isolated, closed fractures of the femoral shaft in children from birth to 15 years of age, between 2012 and 2015. Age, gender, the season in which the fracture occurred, non-accidental injury, the mechanism of injury, hospital trauma status, LOS and type of treatment were recorded. RESULTS: A total of 1852 fractures were identified. The mean annual incidence was 5.82 per 100 000 children (95% confidence interval (CI) 5.20 to 6.44). The age of peak incidence was two years for both boys and girls; this decreased with increasing age. Children aged four to six years treated in MTCs were more likely to be managed with open reduction and internal fixation compared with those treated in TUs (odds ratio 3.20; 95% CI 1.12 to 9.14; p = 0.03). The median LOS was significantly less in MTCs than in TUs for children aged between 18 months and three years treated in both a spica (p = 0.005) and traction (p = 0.0004). CONCLUSION: This study highlights the current national trends in the management of closed isolated fractures of the femoral shaft in children following activation of major trauma networks in 2012. Future studies focusing on the reasons for the differences which have been identified may help to achieve more consistency in the management of these injuries across the trauma networks. Cite this article: 2018;100-B:109-18.
[Mh] Termos MeSH primário: Fraturas do Fêmur/epidemiologia
Fraturas Fechadas/epidemiologia
Procedimentos Ortopédicos/tendências
Centros de Traumatologia/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Distribuição por Idade
Moldes Cirúrgicos/utilização
Criança
Pré-Escolar
Inglaterra/epidemiologia
Feminino
Fraturas do Fêmur/etiologia
Fraturas do Fêmur/cirurgia
Fixação Interna de Fraturas/utilização
Fraturas Fechadas/etiologia
Fraturas Fechadas/cirurgia
Seres Humanos
Incidência
Lactente
Recém-Nascido
Tempo de Internação/estatística & dados numéricos
Masculino
Procedimentos Ortopédicos/métodos
Prática Profissional/estatística & dados numéricos
Prática Profissional/tendências
Estações do Ano
Distribuição por Sexo
Tração/utilização
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180116
[Lr] Data última revisão:
180116
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180107
[St] Status:MEDLINE
[do] DOI:10.1302/0301-620X.100B1.BJJ-2016-1315.R3


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[PMID]:29182136
[Au] Autor:Jones S; Khandekar S; Siraj F; Talaseela B; Mohammed SA; Kamhawy A
[Ti] Título:Titanium elastic nailing in femoral diaphyseal fractures in children of 6-14 years age.
[So] Source:Acta Orthop Belg;82(4):896-900, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study is to report our experience of fractures in children riding Hoverboards. METHODS: We undertook a prospective review of all children attending our hospital who sustained fractures whilst riding a Hoverboard. Data such as patient demographics, type of fracture sustained, treatment received, complications and outcome were collected. RESULTS: Twelve children, 5 males and 7 females with ages ranging from 5.5 to 15.3 years were included in this study. All patients sustained upper limb fractures and the distal radius was the commonest fracture site (30%). Surgery was required in 6 (50%) out of the 12 patients because the respective fractures were displaced. No patient had any ongoing complaints or disability at the last clinic review.   Conclusion : Children riding Hoverboards are predisposed to upper limb fractures and parents who purchase Hoverboards should be warned about this.
[Mh] Termos MeSH primário: Fraturas do Úmero/epidemiologia
Fraturas do Rádio/epidemiologia
Patinação/lesões
[Mh] Termos MeSH secundário: Adolescente
Fios Ortopédicos
Moldes Cirúrgicos
Criança
Pré-Escolar
Redução Fechada
Feminino
Fixação Interna de Fraturas
Seres Humanos
Fraturas do Úmero/terapia
Imobilização
Masculino
Redução Aberta
Estudos Prospectivos
Fraturas do Rádio/terapia
Extremidade Superior/lesões
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  4 / 7721 MEDLINE  
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[PMID]:29182132
[Au] Autor:Kailis V; Hariga H; Docquier PL
[Ti] Título:Prevention of re-fractures of both bones of the forearm in children.
[So] Source:Acta Orthop Belg;82(4):872-875, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The aim of this study was to observe if the re-fracture rate after forearm both bones was decreased by protecting the forearm with a preventive brace for 6 months following the fracture and by ceasing all physical activities. METHODS: We performed a retrospective study in 75 consecutive cases of diaphyseal fracture of both bone of forearms, in 52 boys and 23 girls aged from 6 months to 11 years. It concerned a first episode of fracture in 84% of cases and a re-fracture in 17%. RESULTS: Re-fracture rate was 0% in the group where a protective brace was worn while it was 20% in the group without brace. CONCLUSIONS: Both the wearing of a protective brace and absence of sport for 6 months may decrease the re-fracture rate to 0%, if the patient is compliant by wearing it and by ceasing all physical activities.
[Mh] Termos MeSH primário: Braquetes
Fraturas do Rádio/prevenção & controle
Volta ao Esporte
Prevenção Secundária/métodos
Fraturas da Ulna/prevenção & controle
[Mh] Termos MeSH secundário: Moldes Cirúrgicos
Criança
Pré-Escolar
Redução Fechada/métodos
Diáfises/lesões
Diáfises/cirurgia
Feminino
Traumatismos do Antebraço/diagnóstico por imagem
Traumatismos do Antebraço/prevenção & controle
Traumatismos do Antebraço/cirurgia
Seres Humanos
Imobilização/métodos
Lactente
Masculino
Fraturas do Rádio/complicações
Fraturas do Rádio/diagnóstico por imagem
Fraturas do Rádio/cirurgia
Recidiva
Estudos Retrospectivos
Fraturas da Ulna/complicações
Fraturas da Ulna/diagnóstico por imagem
Fraturas da Ulna/cirurgia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  5 / 7721 MEDLINE  
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[PMID]:29182130
[Au] Autor:Anshuman R; Singh M; Jain BK; Verma N; Arora R
[Ti] Título:Correlation of Pirani score and Foot bimalleolar angle in the treatment of idiopathic congenital talipes equino varus by Ponseti method in infants.
[So] Source:Acta Orthop Belg;82(4):861-865, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:AIM: Correlation of Pirani score and Foot bimalleolar (FBM) angle in the treatment of idiopathic congenital talipes equino varus (CTEV) by Ponseti method in infants. MATERIAL AND METHODS: 35 feet with idiopathic CTEV deformity <1 year were prospectively treated by Ponseti method. Deformity evaluated each successive week of treatment by Pirani score and FBM angle. Feet were divided according to Pirani score in groups : one(0-2.0), two(2.5-4) and three(4.5-6). Correlation between mean Pirani score and mean FBM angle was evaluated every week and at follow up, firstly by using Pearson's and Spearman's correlation and then, after dividing data in groups by using ANOVA. RESULTS: Correlation between Pirani score and FBM angle was statistically significant(p value <0.05). CONCLUSION: Pirani score decreases and FBM angle increases with correction. Pirani score and FBM angle correlated in severity of deformity and correction achieved, thus FBM angle provides objective evidence of clubfoot deformity/improvement/deterioration.
[Mh] Termos MeSH primário: Moldes Cirúrgicos
Pé Torto Equinovaro/cirurgia
Tenotomia
[Mh] Termos MeSH secundário: Pé Torto Equinovaro/patologia
Feminino
Seres Humanos
Lactente
Masculino
Procedimentos Ortopédicos
Estudos Prospectivos
Índice de Gravidade de Doença
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  6 / 7721 MEDLINE  
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[PMID]:29182129
[Au] Autor:Alhefzi A; Alshammari D; Bund L; Schneider L; Gicquel P
[Ti] Título:Anatomical and functional evaluation of diaphyseal femoral fractures in children under 6 years old.
[So] Source:Acta Orthop Belg;82(4):854-860, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:Objective : The aim of this study is to evaluate both the anatomical and functional consequences of our treatment protocol of diaphyseal femoral fractures in children under 6 years old Methods : We conducted a retrospective analysis of a series containing 50 children in Strasbourg University Hospital whom had traumatic diaphyseal femoral fractures and underwent conservative treatment by traction followed by casting with a mean follow-up period of 25 months. Results : All fractures healed without complications i.e. gait disorders, back pain and limitation of activity. Results showed a significant correlation between the initial varus angulation and shortening which could influence the final remodeling result within the first 24 months. Using the Receiver Operating Characteristic curve, we developed the Initial Displacement Index on Traction (IDIT) which is the sum of both the initial varus in degrees and the initial shortening in millimeters. Conclusion : The treatment by initial traction followed by a cast for childrens ≤ 6 years old gives clinical and radiological results comparable with those reported for immediate casting method. The hospitalization period is longer in the traction method but with less exposure to general anesthesia (GA) and risks of secondary displacements.
[Mh] Termos MeSH primário: Redução Fechada
Diáfises/lesões
Fraturas do Fêmur/cirurgia
Fraturas Ósseas/cirurgia
Fraturas Cominutivas/cirurgia
Tração
[Mh] Termos MeSH secundário: Acidentes por Quedas
Remodelação Óssea
Moldes Cirúrgicos
Pré-Escolar
Feminino
Consolidação da Fratura
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  7 / 7721 MEDLINE  
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[PMID]:29182120
[Au] Autor:Vandergugten S; Traore SY; Docquier PL
[Ti] Título:Risk factors for additional surgery after closed reduction of hip developmental dislocation.
[So] Source:Acta Orthop Belg;82(4):787-796, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:PURPOSE: to evaluate the risk factors for additional surgery after closed reduction of hip developmental dislocation Methods : closed reduction for developmental hip dislocation was performed on 72 patients, with a total of 82 hips (10 bilateral). Were included only patients with irreducible hip dislocation who were treated by overhead traction followed by closed reduction under general anaesthesia and spica casting. The mean age at the time of closed reduction was 10 months, with 82% of dislocation diagnosed after the age of 6 months. In 28 hips (34.1%), no additional surgical procedure was necessary, while 54 hips (65.9%) needed an additional surgery, consisting in Salter osteotomy in 40 hips (48.8%) or open hip reduction in 14 (17.1%). RESULTS: risk factors for the need of additional surgery were: older age at the time of reduction, male sex, high grade of hip dislocation (Tönnis grade 3 and 4, versus grade 1 and 2), and quality of hip reduction. All the patients older than 17 months at the time of closed reduction needed additional surgery. Bilateral hip dislocation had poorer Severin grading than unilateral dislocation. Poorer Kalamchi scoring was associated with older age and with the presence of the cephalic nucleus at the time of reduction. CONCLUSION: this study confirmed delayed diagnosis of hip dislocation leads to a more extensive treatment with poorer issue.
[Mh] Termos MeSH primário: Luxação Congênita de Quadril/cirurgia
Articulação do Quadril/cirurgia
Imobilização/métodos
Osteotomia/utilização
Reoperação/utilização
Tração/métodos
[Mh] Termos MeSH secundário: Fatores Etários
Moldes Cirúrgicos
Pré-Escolar
Feminino
Necrose da Cabeça do Fêmur/epidemiologia
Luxação Congênita de Quadril/diagnóstico por imagem
Articulação do Quadril/diagnóstico por imagem
Seres Humanos
Lactente
Masculino
Complicações Pós-Operatórias/epidemiologia
Modelos de Riscos Proporcionais
Radiografia
Fatores de Risco
Índice de Gravidade de Doença
Fatores Sexuais
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


  8 / 7721 MEDLINE  
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[PMID]:29182107
[Au] Autor:Khandekar S; Tolessa E; Jones S
[Ti] Título:Displaced distal end radius fractures in children treated with Kirschner wires - A systematic review.
[So] Source:Acta Orthop Belg;82(4):681-689, 2016 Dec.
[Is] ISSN:0001-6462
[Cp] País de publicação:Belgium
[La] Idioma:eng
[Ab] Resumo:The indications for Kirschner wiring, the technique of wiring, type of cast immobilization, period of immobilization and complications of K wires are unclear. We conducted a systematic review of the literature on Kirschner wiring of distal radius fractures in children. A total of 4263 articles were identified. The full text of the remaining 78 articles was reviewed. 64 articles were finally excluded because of incomplete data leaving 14 for analysis. Complete fracture displacement and translation more than 50% are the commonest indications for Kirschner wiring of these fractures with 2 retrograde wires in non-Kapandji fashion being the commonest technique. Long arm casts are the favored modality of immobilization with superficial infection being the commonest complication. Re-displacement rates are low after Kirschner wiring. Most studies were retrospective and there is the need for a multicenter randomized controlled trial to define protocols for management of displaced distal radius fractures in children.
[Mh] Termos MeSH primário: Moldes Cirúrgicos
Fixação Interna de Fraturas/métodos
Imobilização
Fraturas do Rádio/cirurgia
Infecção da Ferida Cirúrgica/epidemiologia
[Mh] Termos MeSH secundário: Adolescente
Fios Ortopédicos
Criança
Pré-Escolar
Seres Humanos
Lactente
Recém-Nascido
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171228
[Lr] Data última revisão:
171228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171129
[St] Status:MEDLINE


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[PMID]:27770336
[Au] Autor:Obremskey WT; Cutrera N; Kidd CM; Southeastern Fracture Consortium
[Ad] Endereço:Vanderbilt University Medical Center, 1215 21st Avenue South, MCE South Tower, Suite 4200, Nashville, TN, 37232, USA. william.obremskey@vanderbilt.edu.
[Ti] Título:A prospective multi-center study of intramedullary nailing vs casting of stable tibial shaft fractures.
[So] Source:J Orthop Traumatol;18(1):69-76, 2017 Mar.
[Is] ISSN:1590-9999
[Cp] País de publicação:Italy
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The purpose of this study was to determine optimal treatment of stable tibial shaft fractures using intramedullary nailing (IMN) or casting. MATERIALS AND METHODS: We performed a multi-center prospective study cohort. Patients with stable tibia shaft fractures meeting Sarmiento's criteria (isolated closed fractures with less than 12 mm of shortening and 10° of angulation) were enrolled prospectively and treated with either a reamed IMN with static interlocking screws or closed reduction followed by long-leg casting. Both groups were weight bearing following surgery. Radiographs were taken until union, and range of motion of knee and ankle joints was assessed. Malalignment (>5°) and malunion (>10°) were determined. Functional outcome measures using short musculoskeletal assessment scores (SMFA) and a knee pain score were scheduled at 6 weeks, 3 months and 6 months. RESULTS: At 3 months, differences between the casting and IMN groups were noted in return to work (6/15 vs 3/17, P < 0.05); ankle dorsiflexion (7° vs 12°, P < 0.05); plantar flexion (28° vs 39°, P < 0.05); and SMFA domains of Dysfunction Index, Bother Index, daily activities, emotional status, and arm/hand function (P < 0.05). The SMFA mobility function demonstrated a significant trend (P = 0.065). At 6 months, malalignment was present in 3/15 in the casting group and in 1/17 in the IMN group (P = 0.02). Malunion was present in 1/15 in the cast group. One fracture in the casting group went on to nonunion and required late IMN placement at 7 months and eventually healed. There were no differences in ankle motion, SMFA scores, or return to work. There was no difference in knee pain between the groups as measured by VAS and Court-Brown pain scale at 6 months. CONCLUSIONS: Patients with stable tibia fractures treated with intramedullary nailing have improved clinical and functional outcomes at 3 months compared with those treated with casting, but there are no differences in any other outcome measure. Patients treated in a cast may have a higher incidence of malalignment or malunion. LEVEL OF EVIDENCE: Level-II prognostic.
[Mh] Termos MeSH primário: Moldes Cirúrgicos
Fixação Intramedular de Fraturas
Fraturas Fechadas/terapia
Fraturas da Tíbia/terapia
[Mh] Termos MeSH secundário: Adulto
Pinos Ortopédicos
Feminino
Seguimentos
Consolidação da Fratura
Fraturas Fechadas/fisiopatologia
Seres Humanos
Masculino
Meia-Idade
Estudos Prospectivos
Amplitude de Movimento Articular
Recuperação de Função Fisiológica
Fraturas da Tíbia/fisiopatologia
Resultado do Tratamento
Suporte de Carga
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171211
[Lr] Data última revisão:
171211
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE
[do] DOI:10.1007/s10195-016-0429-4


  10 / 7721 MEDLINE  
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Registro de Ensaios Clínicos
[PMID]:27770774
[Au] Autor:Zhu GH; Mei HB; He RG; Liu YX; Liu K; Tang J; Wu JY
[Ad] Endereço:Department of Orthopedics, Hunan Children's Hospital, 86 Ziyuan road, Changsha, Hunan, People's Republic of China.
[Ti] Título:Combination of intramedullary rod, wrapping bone grafting and Ilizarov's fixator for the treatment of Crawford type IV congenital pseudarthrosis of the tibia: mid-term follow up of 56 cases.
[So] Source:BMC Musculoskelet Disord;17(1):443, 2016 10 22.
[Is] ISSN:1471-2474
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The purpose of this study was to investigate the initial union rate, refracture rate and residual deformities of congenital pseudarthrosis of the tibia (CPT), using combined surgery including pseudarthrosis resection, intramedullary rodding, autogenous iliac bone grafting and Ilizarov's fixator, with a mean 5.2 years follow-up. METHODS: We retrospectively reviewed the records and diagrams of patients with Crawford type IV congenital pseudarthrosis of the tibia between February 2007 and March 2010. Patients managed by pseudarthrosis resection, intramedullary rod of the tibia, wrapping autogenous iliac bone grafting and Ilizarov's fixator were enrolled. We evaluated the bone union rate, tibial alignment, limb length discrepancy (LLD), valgus deformity of the ankle and the frequencies of refracture during period of follow-up. RESULTS: There were 56 cases enrolled in the study, with a mean follow-up 5.2 years (range, 3 to 6.7 years). The mean age of the patients at surgery was 3.5 years (range, 1.5 to 12.4 years). Fifty (89.2 %) of the 56 patients had primary bone union at site of pseudarthrosis, while 5 obtained union after second surgery and 1 failed. The average time spent to obtain pseudarthrosis initial union was 4.5 months (range, 3.0 to 10.0 months) and mean duration of Ilizarov treatment was 4.7 months (range, 3.2 to 10.4 months). Eleven (19.6 %) patients had proximal tibial valgus with a mean angle of 9.5° (range, 5 to 24°), while 10 (17.9 %) patients had ankle valgus deformities with a mean of 12.3° (range, 6 to 21°). Sixteen (28.6 %) patients had an average 2.2 cm LLD (range, 1.5-4.2 cm). Of the 50 cases who obtained initial bone union of pseudarthrosis, 13 (26.0 %) had refracture which need cast immobilization or secondary surgery. CONCLUSIONS: This combined surgery obtained initial union rate of 89.2 % at primary surgery while the refracture rate is 26.0 %. However, residual deformities such as proximal tibial valgus, LLD and ankle valgus were also existed which should be pay more attention to and dealt with. TRIAL REGISTRATION: This study was registered in ClinicalTrials.gov under the name "The Effect of Combined Surgery in Management of Congenital Pseudarthrosis of Tibia" ( NCT02640040 ), which was released on August 31, 2015.
[Mh] Termos MeSH primário: Transplante Ósseo/métodos
Fixação Intramedular de Fraturas/métodos
Técnica de Ilizarov
Pseudoartrose/congênito
Fraturas da Tíbia/cirurgia
[Mh] Termos MeSH secundário: Moldes Cirúrgicos
Criança
Pré-Escolar
Feminino
Seguimentos
Fixação Intramedular de Fraturas/instrumentação
Seres Humanos
Ílio/transplante
Lactente
Fixadores Internos
Masculino
Pseudoartrose/diagnóstico por imagem
Pseudoartrose/cirurgia
Radiografia
Reoperação/estatística & dados numéricos
Estudos Retrospectivos
Fraturas da Tíbia/diagnóstico por imagem
Transplante Autólogo/métodos
[Pt] Tipo de publicação:CLINICAL TRIAL; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171209
[Lr] Data última revisão:
171209
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161025
[Cl] Clinical Trial:ClinicalTrial
[St] Status:MEDLINE



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