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International Orthopaedics
Published in: International Orthopaedics 6/2009

01-12-2009 | Original Paper

Leg lengthening by distraction osteogenesis using the Ilizarov apparatus: a novel concept of tibia callus subsidence and its influencing factors

Authors: Ashok K. Shyam, Surya Udai Singh, Hitesh N. Modi, Hae-Ryong Song, Seok-Hyun Lee, Hyonggin An

Published in: International Orthopaedics | Issue 6/2009

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Abstract

This article studies the incidence and magnitude of delayed callus subsidence, which will also help in study the hypothesis of three cortex corticalisation to determine the time of fixator removal during distraction osteogenesis (DO). Eighty-one tibia segments with mean lengthening of 7.7 ± 2.9 cm were studied with age, gender, skeletal maturity, amount and percentage of lengthening, callus pattern, callus shape, number of cortices seen at the time of fixator removal, bone mineral density (BMD) ratio, and callus diameter ratio analysed for their effect on callus subsidence. All segments had tibia callus subsidence ranging from 4 mm to 3.2 cm with 54% having significant subsidence of more than 1 cm. Multivariate regression analysis revealed only the amount of lengthening and callus patterns to be significant. In conclusion, we can say that tibia callus subsidence is a significant delayed complication and factors affecting it can be used to determine the time of fixator removal.
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Metadata
Title
Leg lengthening by distraction osteogenesis using the Ilizarov apparatus: a novel concept of tibia callus subsidence and its influencing factors
Authors
Ashok K. Shyam
Surya Udai Singh
Hitesh N. Modi
Hae-Ryong Song
Seok-Hyun Lee
Hyonggin An
Publication date
01-12-2009
Publisher
Springer-Verlag
Published in
International Orthopaedics / Issue 6/2009
Print ISSN: 0341-2695
Electronic ISSN: 1432-5195
DOI
https://doi.org/10.1007/s00264-008-0660-6

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