[Leg lengthening using callotasis. 2. Evaluation of a group of patients with surgical treatment, discussion, literature].
In part 2 of the article the authors evaluate a group of 45 completed cases of lengthening of long bones, using the method of consecutive distraction according to Ilizarev. On average a lengthening of 5.4 cm was achieved. The authors evaluate the procedure of lengthening, the period taken by therapy in relation to the patients' age. The mean period of treatment was 5.7 weeks per 1 cm lengthening and it depends distinctly on the patient's age. In a total of 16 patients at the same time also correction of the axis of the leg was made. A major part of the investigation is devoted to evaluation of complications which, consistent with the literature, are classified as major, requiring further surgery, and minor ones which can be resolved without surgery during the lengthening procedure. Major complications were recorded 9 times, minor ones 8 times. Only in one instance the lengthening was terminated before the planed distraction was achieved. The authors evaluate these complications in relation to the length of distraction, the patient's age and the time when the lengthening was performed. At the same time they give instructions how to prevent complications and how to deal with them, if they arise. The conclusions and evaluation of the group of patients are dealt with in a detailed discussion where the authors compare their results with extensive references in the literature.
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Ortopedická klinika 3, lékarské fakulty KU, Praha.
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D000293:Adolescent; D000328:Adult; D001852:Bone Lengthening / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D016267:External Fixators; D005260:Female; D006801:Humans; D007866:Leg / Q000000981:diagnostic imaging; D007870:Leg Length Inequality / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D011859:Radiography
Prolongace bérce kalotaxí. 2. cást: Hodnocení souboru operovaných pacientů, diskuse, pouzitá literatura.