title: Deformity correction in pediatric skeletal dysplasia: treatment challenges and solutions.
abstract: We reviewed our experience with limb-deformity correction in 54 children with skeletal dysplasias. Our goal was to outline common treatment strategies developed in our hospital to overcome the challenges associated with the management of these conditions. Utilization of computer-assisted preoperative planning, intraoperative monitoring of peripheral nerve function, individualized bone segment stabilization using a modular circular external fixation system, and a flexible distraction protocol improved the precision of angular deformity correction in our practice, simplified external fixator assembly, diminished postoperative frame modifications, enhanced the stability of fixation, and reduced the rate of complications.
authors.affiliation: Center for Excellence in Limb Lengthening and Reconstruction (CELLR), Texas Scottish Rite Hospital for Children, Dallas, Texas.
authors.forename: Mikhail L
authors.initials: ML
authors.lastname: Samchukov
authors.forename: John G
authors.initials: JG
authors.lastname: Birch
authors.forename: Alexander M
authors.initials: AM
authors.lastname: Cherkashin
authors.forename: Marina R
authors.initials: MR
authors.lastname: Makarov
mesh_terms: D000293:Adolescent; D000328:Adult; D002648:Child; D002675:Child, Preschool; D016267:External Fixators; D005260:Female; D006801:Humans; D017880:Limb Deformities, Congenital / Q000601:surgery*; D008297:Male; D010009:Osteochondrodysplasias / Q000601:surgery*; D019857:Osteogenesis, Distraction / Q000295:instrumentation / Q000379:methods; D010027:Osteotomy / Q000379:methods*; D010347:Patient Care Planning; D057234:Preoperative Period; D055815:Young Adult