Deng Fengliang,Xie Jianhui,Mei Haibo,et al.Efficacy of “Triple Program” in preventing knee joint flexion contracture in children with congenital pseudarthrosis of the tibia during tibial lengthening[J].Journal of Clinical Pediatric Surgery,,17():528-532.
Click Copy

Efficacy of “Triple Program” in preventing knee joint flexion contracture in children with congenital pseudarthrosis of the tibia during tibial lengthening

Journal of Clinical Pediatric Surgery[ISSN:1671-6353/CN:43-1380/R] volume: 第17卷 Number: 2018 07 Page: 528-532 Column: 论著 Date of publication: 2018-07-28
Author(s):
Deng Fengliang1; Xie Jianhui2; Mei Haibo3; He Rongguo3; Yi Yinzhi3; Zhang Ni3; Tan Jiong3.
1.University of South China,Hengyang 421001,China;
Keywords:
Congenital Pseudarthrosis of The Tibia;  Tibial Lengthening;  Knee Joint;  Flexion Contracture
Document code:
A
Abstract:
ObjectiveTo explore the efficacy of "triple program" of staged functional exercise,wearing tibial extension auxiliary braces and individualized lengthening for preventing knee joint flexion contracture during tibial lengthening in children with congenital pseudarthrosis of the tibia (CTP).MethodsA retrospective study was performed for 42 CPT patients undergoing surgery plus tibial lengthening from July 2013 to November 2016.ResultsThe average followup period was 8(4-17) months.The average wearing time of external fixator was 228 (118-456) days and the average length of lengthening 4.4 cm.All patients achieved primary union.The average healing index was 52 d/cm.After removing external fixator,the outcomes of knee function were excellent (n=40) and good (n=2).There was no instance of nerve injury,axial displacement,joint dislocation,broken needle or nonunion.ConclusionThe “triple program” is effective in preventing flexion contracture of knee joint in CPT children during tibial lengthening.And wider clinical application is recommended.
Last Update: 2018-07-24