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Refracture after Ilizarov osteosynthesis in atrophic-type congenital pseudarthrosis of the tibia

Authors
Cho, T. -J.Choi, I. H.Lee, S. M.Chung, C. Y.Yoo, W. J.Lee, D. Y.Lee, J. W.
Issue Date
4월-2008
Publisher
BRITISH EDITORIAL SOC BONE JOINT SURGERY
Citation
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME, v.90B, no.4, pp.488 - 493
Indexed
SCIE
SCOPUS
Journal Title
JOURNAL OF BONE AND JOINT SURGERY-BRITISH VOLUME
Volume
90B
Number
4
Start Page
488
End Page
493
URI
https://scholar.korea.ac.kr/handle/2021.sw.korea/123774
DOI
10.1302/0301-620X.90B4.20153
ISSN
0301-620X
Abstract
We investigated patterns of refracture and their risk factors in patients with congenital pseudarthrosis of the tibia after Ilizarov osteosynthesis. We studied 43 cases in 23 patients. Temporal and spatial patterns of refracture and refracture-free survival were analysed in each case. The refracture-free rate of cumulative survival was 47% at five years and did not change thereafter. Refracture occurred at the previous pseudarthrosis in 16 of 19 cases of refracture. The risk of refracture was significantly higher when osteosynthesis was performed below the age of four years, when the tibial cross-sectional area was narrow, and when associated with persistent fibular pseudarthrosis. Refracture occurs frequently after successful osteosynthesis in these patients. Delaying osteosynthesis, maximising the tibial cross-sectional area and stabilising the fibula may reduce the risk of refracture.
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정경대학 (통계학과)
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