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Pregled bibliografske jedinice broj: 791128

Časopis

Autori: Bukva, Bojan; Vrgoč, Goran; Rakovac, Ivan; Dučić, Siniša; Sindik, Joško; Čoklo, Miran; Marinović, Marin; Bakota, Bore
Naslov: Complications in leg lengthening using an Ilizarov external fixator and intramedullary alignment in children: comparative study during a fourteen-year period
Izvornik: Injury (0020-1383) 46 (2015), S6; S48-S51
Vrsta rada: članak
Ključne riječi: Children; Complications; Ilizarov method; Intramedullary alignment; Leg lengthening
Sažetak:
The purpose of this retrospective study was to evaluate the complications associated with leg lengthening in children treated with the Ilizarov external fixator (IEF) and compare them between two groups of patients: one group was treated using an IEF alone and the other group was treated using an IEF in association with intramedullary alignment (IA). The study was performed at the University Children's Hospital in Belgrade, Serbia during a fourteen- year period (from 2000 to 2014). Complications occurred in 73 paediatric patients who underwent the leg lengthening procedure. Complications were classified according to the Caton classification and compared between two groups. Group I comprised 39 patients who underwent the limb lengthening procedure using IEF alone. Group II consisted of 34 patients who were treated with the combination of IEF and IA using two Kirschner wires (K-wires) or Titanium Elastic Nails (TEN). The duration of hospital treatment was also compared between the two groups and the impact of the type of IA on the occurrence of complications was assessed. There was a high rate of complications in patients treated using an IEF compared with those treated using the combination of IEF and IA, but there was no statistically significant difference between the two groups. There was a statistically significant difference in the duration of initial hospitalisation between the two groups, particularly when comparing TEN usage in IA. A comparison of the group of patients treated using an IEF in association with K-wires and patients treated using IEF and TEN showed there was no statistically significant difference in complication rate and duration of initial hospitalisation. IA has multiple advantages as a method of treatment of leg length inequality. The major effect of applying IA in association with a circular IEF is significantly reduced complication rate and duration of initial hospitalisation, particularly when using TEN as a method of IA. This method of treatment also decreases hospital costs.
Izvorni jezik: ENG
Rad je indeksiran u
bazama podataka:
Current Contents Connect (CCC)
MEDLINE
Scopus
SCI-EXP, SSCI i/ili A&HCI
Science Citation Index Expanded (SCI-EXP) (sastavni dio Web of Science Core Collectiona)
Kategorija: Znanstveni
Znanstvena područja:
Kliničke medicinske znanosti
URL Internet adrese: http://dx.doi.org/10.1016/j.injury.2015.10.058
http://www.sciencedirect.com/science/article/pii/S0020138315006750
Broj citata:
Altmetric:
DOI: 10.1016/j.injury.2015.10.058
URL cjelovitog teksta:
Google Scholar: Complications in leg lengthening using an Ilizarov external fixator and intramedullary alignment in children: comparative study during a fourteen-year period
Upisao u CROSBI: Miran Čoklo (miran.coklo@inantro.hr), 22. Pro. 2015. u 11:00 sati
Napomene:
S.I.: A Croatian perspective and international cooperation ; Bore Bakota i Mario Starešinić(ur.).



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