Inter- and Intra-observer reliability of the pixel value ratio, Ru Li's and Donnan's classifications of regenerate quality in pediatric limb lengthening

Clinical outcomes in pediatric tibial lengthening and deformity correction: A comparison of the Taylor Spatial Frame with the Orthex Hexapod System

“…Data was collected based on radiographic appearance of regenerate, 7 on regenerate density (pixel value ratio, PVR), 8 pin site status (Checkett’s grading) 9 and quality of life measures (PedsQL) 10 after frame removal (minimum six months). An infection episode was defined as a finite period of antibiotic treatment for a pin site infection (Checkett’s grade 2 and above) resulting in clinical resolution.…”

International recognition of the Ilizarov bone reconstruction techniques: Current practice and research (dedicated to 100thbirthday of G. A. Ilizarov)

“…Strategies in Trauma and Limb Reconstruction of the British Limb Reconstruction Society has been adopted as the English language journal on this subspecialty by several ASAMI and LLRS societies (Brazil, Egypt, Japan, LLRS North America, LLRS South Africa, LLRS Nordic, ASAMI Philippines, Pakistan, Malaysia, South Korea, СEFM China)[ 1 , 66 , 73 ]. Journal of Limb Lengthening & Reconstruction , the official publication for the International ASAMI and ILLRS, is a platform for exchanging the opinions on the topics of bone and joint reconstruction that has issued six volumes since its initiation but unfortunately still lacks indexing by the international databases of Scopus, Web of Science and the PubMed platform[ 8 , 74 ]. The Genius of Orthopaedics (Genij Ortopedii) issued at the Ilizarov National Medical Research Center for Traumatology and Orthopedics (former Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopedics) by ASAMI Russia has been included in the Scopus database and provides a free on-line access to its volumes both in Russian and English[ 86 ].…”

“…The regular 1-mm rate of daily lengthening, confirmed in the historical experiments by the Ilizarov’s team[ 4 ], should be followed with any fixator or adjusted down if problems appear in order to have stable bone regeneration[ 48 ]. The regenerate condition and consolidation is of primary concern to allow full weight-bearing[ 74 ]. Current research in limb lengthening has been based on the experiments which are aimed at distraction osteogenesis acceleration and faster regenerate maturation that take many months to complete efficient bone formation.…”

Métodos de avaliação do regenerado ósseo

“…A formação do osso regenerado pode ser avaliada e monitorada de diversas formas, sendo a radiografia simples o método mais amplamente utilizado, 1 pois se trata do exame mais prontamente disponível e clinicamente mais acessível. 3,5 À vista disso, as radiografias são consideradas as imagens com melhor custo-benefício para acompanhamento de todos os aspectos da regeneração óssea; 6,7 em contrapartida, o método é dependente da experiência de quem o avalia. 1 Quando comparada a outros métodos, no acompanhamento dos pacientes em procedimentos de alongamento ósseo, a maior desvantagem da radiografia é o fato de que ela não é capaz de detectar a presença de novo regenerado até que uma quantidade considerável de cálcio tenha sido nele depositada.…”

“…Plain radiography is the most widely used method for evaluation and monitoring, 1 and it is the most readily-available and clinically-accessible test. 3,5 As such, plain radiography is the most cost-effective imaging method to monitor all aspects of bone regeneration, 6,7 even though it depends on the experience of the professional in charge of the evaluation. 1 The major disadvantage of radiography compared with other methods in the follow-up of patients undergoing bone lengthening procedures is its inability to detect the presence of a new regenerate until the deposition of a considerable amount of calcium.…”