SavedAdd your journal

Journals / Acta Orthopaedica et Traumatologica Turcica / 2016 / Cilt: 50 - Sayı: 3

Tibial lengthening with ankle arthrodesis in poliomyelitic patients with unilateral dysfunction of both knee extension and ankle dorsiflexion

Chi-Chuan WU
Pages
284–290
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

At final follow-up, gait function significantly improved according to Functional Mobility Scale and modified Mazur Scoring System scores (p< 0.001 for both).Conclusion: The tibial lengthening with ankle arthrodesis appears to be an efficient alternative for treating poliomyelitic patients with unilateral dysfunction of both knee extension and ankle dorsiflexion.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Objective: The aim of this study was to assess the results of tibial lengthening with ankle arthrodesis in poliomyelitic patients with unilateral dysfunction of both knee extension and ankle dorsiflexion.Methods: Twenty-five consecutive adult patients with poliomyelitic sequelae of unilateral dysfunction of both knee extension and ankle dorsiflexion were treated.
📊
Key Findings & Data:Patients had an average shorthening of 5.4 cm (range: 4.5-6.5 cm) on the affected side.
💡
Conclusion & Impact:At final follow-up, gait function significantly improved according to Functional Mobility Scale and modified Mazur Scoring System scores (p< 0.001 for both).Conclusion: The tibial lengthening with ankle arthrodesis appears to be an efficient alternative for treating poliomyelitic patients with unilateral dysfunction of both knee extension and ankle dorsiflexion.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Objective: The aim of this study was to assess the results of tibial lengthening with ankle arthrodesis in poliomyelitic patients with unilateral dysfunction of both knee extension and ankle dorsiflexion.Methods: Twenty-five consecutive adult patients with poliomyelitic sequelae of unilateral dysfunction of both knee extension and ankle dorsiflexion were treated. Patients had an average shorthening of 5.4 cm (range: 4.5-6.5 cm) on the affected side. The tibia was osteotomized and lengthened with external fixators, which were then replaced with plates supplemented with bone grafting. Ankle arthrodesis was performed concomitantly. Protected weight bearing was advised until bony union was achieved. Gait function was evaluated with Functional Mobility Scale and modified Mazur Scoring System.Results: Twenty-one patients were followed up for an average of 4.3 years (range: 2.0-8.2 years). External fixation was applied for an average of 6.2 weeks (range: 5-8 weeks). Complete bone healing was achieved in all patients and the average union time was 4 months (range: 3.5-4.5 months) after plating. At final follow-up, gait function significantly improved according to Functional Mobility Scale and modified Mazur Scoring System scores (p< 0.001 for both).Conclusion: The tibial lengthening with ankle arthrodesis appears to be an efficient alternative for treating poliomyelitic patients with unilateral dysfunction of both knee extension and ankle dorsiflexion.

🔖

Cite This Article

WU, C. (2016). Tibial lengthening with ankle arthrodesis in poliomyelitic patients with unilateral dysfunction of both knee extension and ankle dorsiflexion. Acta Orthopaedica et Traumatologica Turcica, Cilt: 50 - Sayı: 3, 284–290. https://ajindex.com/articles/197503

References (17)

  1. Roberts L. Public health. A one-two punch against polio. Science 2014;345:861-2.
  2. Küçükkaya M, Karakoyun Ö, Sökücü S, Soydan R. Femo- ral lengthening and deformity correction using the Fitbone motorized lengthening nail. J Orthop Sci 2015;20:149- 54. Halstead LS. Late complications of poliomyelitis. In: Goodgold J, edotor. Rehabilitation medicine. St. Louis, MI: CV Mosby; 1988. p. 328-42.
  3. Wu CC, Shih CH, Chen WJ, Tai CL. Tension-band tech- nique for ankle fusion. Orthopedics 2001;24:37-40.
  4. Harshwal RK, Sankhala SS, Jalan D. Management of non- union of lower-extremity long bones using mono-lateral external fixator-report of 37 cases. Injury 2014;45:560-7.
  5. DeLee JC, Heckman JD, Lewis AG. Partial fibulectomy for ununited fractures of the tibia. J Bone Joint Surg Am 1981;63:1390-5. Seinsheimer F. Subtrochanteric fractures of the femur. J Bone Joint Surg Am 1978;60:300-6.
  6. Graham HK, Harvey A, Rodda J, Nattrass GR, Pirpiris M. The Functional Mobility Scale (FMS). J Pediatr Or- thop 2004;24:514-20.
  7. Mazur JM, Schwartz E, Simon SR. Ankle arthrodesis. Long-term follow-up with gait analysis. J Bone Joint Surg Am 1979;61:964-75.
  8. Trojan DA, Cashman NR. Post-poliomyelitis syndrome. Muscle Nerve 2005;31:6-19.
  9. Sobotta J, Becher H. Atlas of human anatomy. Vol. 3. Mu- nich, Germany: Urban & Schwarzenberg; 1990.
  10. Drake RL, Vogl AW, Mitchell AWM. Gray's anatomy for students. 3rd ed. Philadelphia, PA: Elserier Churchill Liv- ingstone; 2015.
  11. Sheth NP, Keenan MA. Orthopedic surgery consider- ations in post-polio syndrome. Am J Orthop (Belle Mead NJ) 2007;36:348-53.
  12. Wu CC, Chen WJ. Tibial lengthening: technique for speedy lengthening by external fixation and secondary in- ternal fixation. J Trauma 2003;54:1159-65.
  13. Wu CC, Lee ZL. One-stage lengthening using a locked nailing technique for distal femoral shaft nonunions asso- ciated with shortening. J Orthop Trauma 2004;18:75-80.
  14. Conway JD, Mont MA, Bezwada HP. Arthrodesis of the knee. J Bone Joint Surg Am 2004;86-A:835-48.
  15. Kapoor SK, Tiwari A. Resection arthrodesis for giant cell tumors around the knee. Indian J Orthop 2007;41:124-8.
  16. Parker L, Ray P, Grechenig S, Grechenig W. Does the IOFIX improve compression in ankle fusion? Foot Ankle Surg 2014;20:258-61. Warner WC Jr. Paralytic disorder. In: Canale ST, Beaty JH, editors. Campbell's operative orthopedics. 11th ed. Philadelphia, PA: Mosby; 2008. p. 1401-98.
  17. Patwa JJ, Bhatt HR, Chouksey S, Patel K. Hamstring transfer for quadriceps paralysis in post polio residual pa- ralysis. India