Functional outcome after lengthening with and without deformity correction in polio patients - PubMed (original) (raw)
Functional outcome after lengthening with and without deformity correction in polio patients
Khaled M Emara et al. Int Orthop. 2008 Jun.
Abstract
Poliomyelitis is one of the causes of limb length discrepancy. The aim of lengthening and deformity correction in such patients is to improve the functional mobility of the patient. This study aims to find out whether or not improvement of limb length inequality with or without deformity correction affects or improves ambulation. This prospective study included 32 skeletally mature patients managed using the Ilizarov technique and external fixation for limb lengthening with or without deformity correction. Functional Mobility Scale scoring was used for assessment of ambulation before lengthening and at the final follow-up. The average duration of follow-up was 2 years and 9 months. Lengthening alone did not change the Functional Mobility Scale score. While lengthening associated with deformity correction improved the mobility scale at 5 m only (in the house), it had no effect on the 50 and 500 m score.
La poliomyélite est une des causes de l’inégalité de longueur des membres. Le but du traitement est de corriger l’inégalité et la déformation axiale, chez ces patients, afin d’améliorer le résultat fonctionnel et la mobilité. Cette étude a pour but de déterminer si l’amélioration est suffisante avec le traitement isolé de l’inégalité ou si elle nécessite de corriger également la déformation de façon à optimiser l’autonomie de marche. Une étude prospective incluant 32 patients en fin de croissance a été conduite dans ce sens. Le traitement de l’inégalité de longueur a été réalisé selon la méthode d’Ilizarov avec ou sans correction de la déformation axiale. Le résultat fonctionnel a été évalué selon une échelle d’autonomie avant l’allongement et au dernier suivi. Le suivi moyen a été de deux ans et neuf mois. L’allongement isolé ne change pas le score fonctionnel alors que l’allongement associé à la correction de la déformation axiale améliore celui-ci mais seulement sur 5 mètres en déambulation intérieure, en effet entre 50 et 500 mètres, le score reste inchangé.
Similar articles
- Tibial lengthening: technique for speedy lengthening by external fixation and secondary internal fixation.
Wu CC, Chen WJ. Wu CC, et al. J Trauma. 2003 Jun;54(6):1159-65; discussion 1165. doi: 10.1097/01.TA.0000046254.92637.19. J Trauma. 2003. PMID: 12813338 - No difference in tibial lengthening index by use of Taylor spatial frame or Ilizarov external fixator.
Kristiansen LP, Steen H, Reikerås O. Kristiansen LP, et al. Acta Orthop. 2006 Oct;77(5):772-7. doi: 10.1080/17453670610012971. Acta Orthop. 2006. PMID: 17068709 - Lower limb lengthening and deformity correction using the Fitbone motorized nail system in the adolescent patient.
Al-Sayyad MJ. Al-Sayyad MJ. J Pediatr Orthop B. 2012 Mar;21(2):131-6. doi: 10.1097/BPB.0b013e32834b34b4. J Pediatr Orthop B. 2012. PMID: 22301429 Clinical Trial. - Leg lengthening and bone transport in children.
Hill RA, Tucker SK. Hill RA, et al. Br J Hosp Med. 1997 Apr 16-May 6;57(8):399-404. Br J Hosp Med. 1997. PMID: 9274665 Review. - Advances in management of limb length discrepancy and lower limb deformity.
Friend L, Widmann RF. Friend L, et al. Curr Opin Pediatr. 2008 Feb;20(1):46-51. doi: 10.1097/MOP.0b013e3282f35eeb. Curr Opin Pediatr. 2008. PMID: 18197038 Review.
Cited by
- Falls in Korean Polio Survivors: Incidence, Consequences, and Risk Factors.
Nam KY, Lee S, Yang EJ, Kim K, Jung SH, Jang SN, Han SJ, Kim WH, Lim JY. Nam KY, et al. J Korean Med Sci. 2016 Feb;31(2):301-9. doi: 10.3346/jkms.2016.31.2.301. Epub 2016 Jan 13. J Korean Med Sci. 2016. PMID: 26839487 Free PMC article. - The Use of Ilizarov Method at the Lower Extremity Deformity Management.
Armagan R, Kucukkaya M, Ozdemir HM. Armagan R, et al. Sisli Etfal Hastan Tip Bul. 2023 Jun 20;57(2):263-271. doi: 10.14744/SEMB.2023.03185. eCollection 2023. Sisli Etfal Hastan Tip Bul. 2023. PMID: 37899808 Free PMC article. - Clinical Implications of Psychosocial Factors on Pediatric External Fixation Treatment and Recommendations.
Richard HM, Nguyen DC, Birch JG, Roland SD, Samchukov MK, Cherkashin AM. Richard HM, et al. Clin Orthop Relat Res. 2015 Oct;473(10):3154-62. doi: 10.1007/s11999-015-4276-z. Clin Orthop Relat Res. 2015. PMID: 25828943 Free PMC article.
References
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '8156659', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/8156659/'}\]}
- Dahl MT, Gulli B, Berg T (1994) Complications of limb lengthening: a learning curve. Clin Orthop 301:10–18 - PubMed
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '10429604', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/10429604/'}\]}
- Kristiansen LP, Steen H (1999) Lengthening of the tibia over an intramedullary nail using the Ilizarov external fixation: major complications and slow consolidation in 9 lengthenings. Acta Orthop Scand 70:271–274 - PubMed
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '15308901', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/15308901/'}\]}
- Graham HK, Harvey A, Rodda J, Nattras GR, Pirpiris M (2004) The functional mobility scale (FMS). J Pediatr Orthop 24(5):514–520 - PubMed
- None
- Green WT, Grice DS (1952) The management of chronic poliomyelitis. AAAO Instr Course Lect 9:85
- {'text': '', 'ref_index': 1, 'ids': [{'type': 'PubMed', 'value': '9136512', 'is_inner': True, 'url': 'https://pubmed.ncbi.nlm.nih.gov/9136512/'}\]}
- Huang SC (1997) Leg lengthening by the Ilizarov technique for patients with sequelae of poliomyelitis. J Formos Med Assoc 96(4):258–265 - PubMed
MeSH terms
LinkOut - more resources
Full Text Sources
Medical