Naslov
Complications in leg lengthening procedure by Wagner apparatus in children : differing congenital and acquired aetiology of shortening

Autori
Baretić, Maja

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, znanstveni

Izvornik
Abstracts of the 29th European Symposium on Calcified Tissues ; u: Calcified Tissue International 70 (2002) (S) / Civitelli, Roberto ; Hruska, Keith ; Ralston, Stuart - New York (NY) : Springer, 2002, 267-267

Skup
European Symposium on Calcified Tissues (29 ; 2002)

Mjesto i datum
Zagreb, Hrvatska, 25.05.2002. - 29.05.2002

Vrsta sudjelovanja
Poster

Vrsta recenzije
Međunarodna recenzija

Ključne riječi
leg lengthening; Wagner apparatus; complication

Sažetak
Leg lengthening procedure is often accompanied by many complications. Connection between aetiology of abbreviation and complications was studied in 36 patients (average age 11 years and 2 months). All the patients were younger than 18 yrs without previous leg lengthening operative procedure made of any kind. They underwent 41 lower limb leg lengthening operations (33 femoral and 8 tibial) by Wagner apparatus. To the one of the children femur and tibia on the one leg were elongated and to the other one together femur and tibia on both legs were lengthened. Their medical data were collected retrospectively and analysed. Average preoperative leg length discrepancy was 5.4 cm: average lengthening achieved was 5 cm. Wagner apparatus was placed in situ in average during 5 months and 21 days. Children were divided by the aetiology of leg shortening in two groups ; in 25 of them aetiology was congenital (congenital idiopathic hyoplasia, congenital hip dislocation consequences, coxa vara, mb. Ollier, mb. Klippel-Trenaunay, achondroplasia) and 11 of them had acquired aetiology of abbreviation (tumours resection effect, paresis et paraparesis consequences caused by polio, meningitis, myelomeningocoela, tumours resection effect, posttraumatic status). 22 elongations were followed by one or more complications (14 patients had joint contractures, 8 pin-track infections, 4 fractures, 2 too early consolidations, 1 pseudarthrosis). Complications were divided on heavier (an additional operative procedure was required) and easier (solved with physical therapy and antibiotics). It was presumed that the frequency of complications and their severity are influenced by aetiology of shortening. Statistical data evaluated by Hi square test show no significant difference. It seems that the aetiology does not play the role in prognosis of complication rate and severity during leg lengthening procedure by Wagner apparatus. Reoperations could be avoided by continuous physical therapy considering setting the operated leg under graduate pressure, rigorous pin-track toilette with microbiological sample taking and AO fixation with siringioplasty.

Izvorni jezik
Engleski

Znanstvena područja
Kliničke medicinske znanosti

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