Degenerative Arthritis of the Knee Secondary to Fracture Malunion

Kettelkamp, D B; Hillberry, B. M.; Murrish, D E; Heck, David A.

doi:10.1097/00003086-198809000-00029

Cited by 139 publications

(72 citation statements)

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“…Dickson et al found malunion in 5.7% patients treated with Ilizarov [24] . In long term follow-ups after tibial fractures there is no evidence that the malalignment of the lower limb will lead to any restriction of motion, pain or osteoarthrosis of knee and ankle even with an angulation of upto 15 degree [36,37,38] . Anterior knee pain after IMN remains a troublesome complication regardless of the surgical approach used, ranging from 5 to 86% [39] .…”

Section: Discussionmentioning

confidence: 99%

Role of Ilizarov ring fixator in definitive management of tibia shaft fractures: A prospective observational study of 50 cases

Dwivedi¹,

Rathva²,

Patel³

2017

Int. J. Orthop. Sci.

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Introduction: Tibia shaft fractures can be treated with various modes, each having its merits and demerits. The aim of our study was to analyze clinical outcome of Ilizarov technique in patients with tibia shaft fracture. Method: 50 patients with isolated tibia shaft fracture treated with Ilizarov external fixator were followed prospectively for one year. Depending upon the level of fracture 4 or 5 rings were used. Weight bearing as per patient pain tolerance was allowed within 24 to 48 hours. The decision of frame removal was taken based on Ramos criteria. The function was evaluated based on Johner and Wruh's criteria. Results: According to Johner and Wruh's criteria, 34 patients had excellent, 12 patients had good and 4 patients had fair results. No poor results were noted. There was no case of re-operation and re-fracture. Pin-site infections were seen in 14% cases but there were no deep infections. Conclusion: Ilizarov technique can be used as an early definitive management in tibia shaft fractures with excellent clinical outcome.

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Section: Discussionmentioning

confidence: 99%

Role of Ilizarov ring fixator in definitive management of tibia shaft fractures: A prospective observational study of 50 cases

Dwivedi¹,

Rathva²,

Patel³

2017

Int. J. Orthop. Sci.

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“…In literature it is reported that femoral deformities lead to early set and progress of osteoarthrosis [9,16]. Deformity correction and restoration of normal joint orientation allows preventing and slowing down progress of the osteoarthrosis [7,21].…”

Section: Discussionmentioning

confidence: 99%

“…They can be acquired as a result of trauma [6,13] or diseases [12], and congenital [18]. Femoral deformities alter axial alignment and orientation of the joints of the lower limb that leads to overload on the joints and early onset of osteoarthrosis [9,16]. Also, femoral deformities are frequently combined with limb shortening.…”

Section: Introductionmentioning

confidence: 99%

A comparative study of the correction of femoral deformity between the Ilizarov apparatus and Ortho-SUV frame

Соломин

Paley

Щепкина

et al. 2013

International Orthopaedics (SICOT)

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Purposes This study compared the six-axis external fixator Ortho-SUV Frame (OSF) and the Ilizarov apparatus (IA) in femoral deformity correction. Our specific questions were: (1) which of the fixators (OSF or IA) provides shorter period of femoral deformity correction, and (2) which of the fixators (OSF or IA) provides better accuracy of correction. Methods We retrospectively analysed 123 cases of femoral deformities (127 femora): 45 (47) treated with OSF (20 male and 27 female) and 78 (80) with IA (53 male and 27 female). The average age in the OSF group was 34.6 (range, 18-66) and in the IA group 35.8 (range, 18-76). All the deformities were categorized according to the number of planes and deformity components as simple, middle and complex deformities. Results Elimination of simple deformities in the IA group took 58.3±21.4 days, EFI 58.8±39.8 days/cm, and lengthening was 4.6±1.98 cm. Middle deformities were 71.3±26.2, 61.9±30.3 and 4±2, respectively. In complex deformities we had 105.2± 21.8, 79.3±35.4 and 3.2±1.45, respectively. Normal alignment was achieved in 55.0 % of cases in IA. In 45.0 % of cases we had residual deformity. Elimination of simple deformations in the OSF group took 55.3±12.8 days, EFI 47.5±23 days/cm, and lengthening 4.5±1.1сm. Middle deformities were 43.6± 18.9, 59±14.6 and 3.6±2, respectively. In complex deformities we had 44.9±11.5, 57.5±9.4 and 3.6±1.7, respectively. In the OSF group normal alignment was achieved in 85.1 %. In 14.9 % there was residual deformity.Conclusion Using OSF simplifies deformity correction and reduces its period by 2.3 times in complex deformities and by 1.6 times in middle deformities. Accuracy of correction with OSF was significantly higher than correction with IA.

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“…В 2 случаях выполнялась остеотомия и интрамедуллярный остеосинтез стержнем с бло-кированием . дискуссия Известно, что деформации нижних конечно-стей ведут к формированию остеоартроза [22,23] . Точное восстановление анатомии конечностей и нормализация РЛУ снижает риск развития и прогрессирования данного заболевания [24] .…”

Section: осложнениеunclassified

Treatment of pediatric patients with lower extremity deformities using software-assisted Ortho-SUV Frame: analysis of 213 cases

Vilensky

Александрович²,

Pozdeev

et al. 2016

Pediatr Traum Orthop Reconstr Surg

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Aim. To retrospectively assess treatment outcomes of long bone deformities of the lower extremities accompanied by shortening in pediatric patients using a software-assisted Ortho-SUV Frame.Materials and methods. The accuracy of deformity correction (AC), period of deformity correction (PDC), external fixation index (EFI), and number of complications in 213 patients were retrospectively analyzed.Results. According to different parameters, AC of femur deformity correction (group 1) varied from 90% to 96%. The average length increase was 47 ± 12 mm. The average distraction duration was 38 ± 14 days. The average PDC was 8 ± 6 days for simple deformities (SDs), 14 ± 7 days for moderate deformities (MDs), and 23 ± 12 days for complex deformities (CDs). EFI was 26 ± 8 days/cm for SDs, 31 ± 6 days/cm for MDs, and 35 ± 12 days/cm for CDs. According to different parameters, AC of the lower leg deformity correction (group 2) varied from 89% to 95%. The average length increase was 52 ± 20 mm. The average distraction duration was 45 ± 18 days. PDC was 11 ± 5 days for SDs, 16 ± 9 days for MDs, and 27 ± 16 days for CDs. EFI was 32 ± 14 days/cm for SDs, 42 ± 12 days/cm for MDs, and 49 ± 8 days/cm for CDs. There were 48 (50.5%) complications in group I with the majority (71%) classified as Caton grade I and 29% as grade II. There were 62 (45%) complications in group 2, where 50% were Caton grade I and 50% were Caton grade II. There were no serious complications (Caton grade III) in either group that influenced the final functional results.Conclusion: Use of a software-assisted Ortho-SUV Frame increased the efficiency of treatment of pediatric patients with long bone deformities because of the great accuracy of deformity correction.

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Degenerative Arthritis of the Knee Secondary to Fracture Malunion

Cited by 139 publications

References 0 publications

Role of Ilizarov ring fixator in definitive management of tibia shaft fractures: A prospective observational study of 50 cases

Role of Ilizarov ring fixator in definitive management of tibia shaft fractures: A prospective observational study of 50 cases

A comparative study of the correction of femoral deformity between the Ilizarov apparatus and Ortho-SUV frame

Treatment of pediatric patients with lower extremity deformities using software-assisted Ortho-SUV Frame: analysis of 213 cases

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