Children, Free Full-Text
Por um escritor misterioso
Descrição
Background: Congenital pseudoarthrosis of the tibia (CPT) remains a challenge for physicians. Several treatment options have been proposed, but the standard of care remains inconclusive. In this study, we present three patients for whom the failure of prior treatments was managed with a contralateral vascularized fibular bone graft (VFG) and an anatomic distal tibial locking plate. Methods: Between 2017 and 2021, three patients were referred for failed treatment of CPT. All patients had undergone multiple prior surgeries, including tumor excision and fixation with ring external fixators, plates, and screws. We performed radical tumor resection and reconstruction of bone defects with a VFG. The construct was fixed with an anatomic locking plate, and the patients were followed up for a mean of 45.7 months. Results: All three patients were able to obtain graft union at 19.3 weeks. At the final follow-up, all grafts achieved bony hypertrophy without evidence of bone resorption or local tumor recurrence. There was a mean leg length difference of 8.5 cm preoperatively, compared with 6.3 cm postoperatively. The average lower leg angulation was 7.4 degrees and the average ankle range of motion was 58.3 degrees. The mean VAS score was 0 and the mean AOFAS score was 88.3. No significant complications were noted. Conclusions: Implantation of a VFG and an anatomic distal tibia locking plate can be considered an option for treatment-refractory CPT. Patients can expect to achieve bone consolidation, ambulate as tolerated, and have a low complication rate.
The Outcome of Congenital Cytomegalovirus Infection in Relation to
Free Christmas gifts for your children and free money? Why bother
[BrainChild] on . *FREE* shipping on qualifying offers. Writing Workbook For Kids With Dyslexia. 100 Activities to improve writing and
Writing Workbook For Kids With Dyslexia. 100 Activities to improve writing and reading skills of Dyslexic children. Full color Edition. Volume 7
Enroll Your Child in Full-Day Kindergarten
Effective Communication with Children Read the full blog
350g*3 Anchor Full Cream Milk Powder best for children FREE
Full and Empty Worksheets for Kids
PDF) Does free public transit increase physical activity and
Small World Child Care
THE COMPLETE WORKS OF COUNT LEO TOLSTOY : LEV TOLSTOY : Free
[DK] on . *FREE* shipping on qualifying offers. A World Full of Poems: Inspiring poetry for children
A World Full of Poems: Inspiring poetry for children
Mom Of Five Badmouths Her Child-Free Sister When She Refused To
de
por adulto (o preço varia de acordo com o tamanho do grupo)