Prospective comparative study of two methods for fixation after distal femur corrective osteotomy for valgus deformity; retrograde intramedullary nailing versus less invasive stabilization system plating
Introduction The aim of this study was to compare the radiological and functional results of two different methods of fixation for the correction of femoral valgus deformities. Methods Patients who had undergone osteotomy and correction of a valgus deformity from 2007 to 2013 were prospectively foll...
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| Veröffentlicht in: | International orthopaedics 2016-10, Vol.40 (10), p.2121-2126 |
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| description | Introduction
The aim of this study was to compare the radiological and functional results of two different methods of fixation for the correction of femoral valgus deformities.
Methods
Patients who had undergone osteotomy and correction of a valgus deformity from 2007 to 2013 were prospectively followed. Thirty three patients (20 females, 13 males) with 39 lower limbs were included in the study. Seventeen lower limbs were treated with retrograde intramedullary nailing (IMN) and 22 with less invasive stabilization system plating. Standing orthoroentgenograms of the lower limbs were taken pre-operatively and at the final follow-up. mLDFA, aLDFA, mechanical axis deviation (MAD) were measured in this orthoroentgenograms. Knee osteoarthritis outcome score (KOOS) and knee range of motion were used pre-operatively and at the final follow-up as part of the evaluation of the clinical results. All patients duration of surgery, length of hospital stay were assessed. Operations were performed by two orthopedic surgeons. The choice of correction method for each patient was determined by the surgeon. Pre-operative and post-operative values were simultaneously measured by two additional orthopedic surgeons.
Results
The mean age of the patients was 26.2 years (18.0–51.0) in the plating group and 29.3 years (18.0–55.0) in the nailing group. Patients in the plating and nailing groups were followed up for 24.0 (12.0–60.0) and 27.8 (12.0–60.0) months. All patients were followed for a minimum of 12 months. No significant differences were observed between the groups in terms of age, sex, or duration of follow-up (
p
> 0.05) Comparison of the pre- and post-operative mLDFA, aLDFA, MAD, length of hospital stay, and duration of surgery between the plating group and nailing group, no significant difference was observed between the groups (
p
> 0.05). However, patients treated with retrograde IMN had significantly better post-operative results in terms of the KOOS and range of motion of the knee according to plating group (
p
|
| doi_str_mv | 10.1007/s00264-016-3190-7 |
| format | Article |
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The aim of this study was to compare the radiological and functional results of two different methods of fixation for the correction of femoral valgus deformities.
Methods
Patients who had undergone osteotomy and correction of a valgus deformity from 2007 to 2013 were prospectively followed. Thirty three patients (20 females, 13 males) with 39 lower limbs were included in the study. Seventeen lower limbs were treated with retrograde intramedullary nailing (IMN) and 22 with less invasive stabilization system plating. Standing orthoroentgenograms of the lower limbs were taken pre-operatively and at the final follow-up. mLDFA, aLDFA, mechanical axis deviation (MAD) were measured in this orthoroentgenograms. Knee osteoarthritis outcome score (KOOS) and knee range of motion were used pre-operatively and at the final follow-up as part of the evaluation of the clinical results. All patients duration of surgery, length of hospital stay were assessed. Operations were performed by two orthopedic surgeons. The choice of correction method for each patient was determined by the surgeon. Pre-operative and post-operative values were simultaneously measured by two additional orthopedic surgeons.
Results
The mean age of the patients was 26.2 years (18.0–51.0) in the plating group and 29.3 years (18.0–55.0) in the nailing group. Patients in the plating and nailing groups were followed up for 24.0 (12.0–60.0) and 27.8 (12.0–60.0) months. All patients were followed for a minimum of 12 months. No significant differences were observed between the groups in terms of age, sex, or duration of follow-up (
p
> 0.05) Comparison of the pre- and post-operative mLDFA, aLDFA, MAD, length of hospital stay, and duration of surgery between the plating group and nailing group, no significant difference was observed between the groups (
p
> 0.05). However, patients treated with retrograde IMN had significantly better post-operative results in terms of the KOOS and range of motion of the knee according to plating group (
p
< 0.05).
Conclusion
Retrograde IMN does not provide a radiological advantage over the LISS plating technique for valgus deformity but retrograde IMN and correction offered better functional results in cases of femoral valgus deformity than did the LISS plating method.</description><identifier>ISSN: 0341-2695</identifier><identifier>EISSN: 1432-5195</identifier><identifier>DOI: 10.1007/s00264-016-3190-7</identifier><identifier>PMID: 27079838</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adolescent ; Adult ; Bone Malalignment - surgery ; Bone Plates ; Female ; Femur - surgery ; Fracture Fixation, Internal - instrumentation ; Fracture Fixation, Internal - methods ; Fracture Fixation, Intramedullary ; Humans ; Knee Joint - surgery ; Male ; Medicine ; Medicine & Public Health ; Middle Aged ; Original Paper ; Orthopedics ; Osteoarthritis, Knee - surgery ; Osteotomy - methods ; Prospective Studies ; Young Adult</subject><ispartof>International orthopaedics, 2016-10, Vol.40 (10), p.2121-2126</ispartof><rights>SICOT aisbl 2016</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c377t-92692c733400047649a476e5f936b1a52669ce6e1a54f9820b8dd81846adda503</citedby><cites>FETCH-LOGICAL-c377t-92692c733400047649a476e5f936b1a52669ce6e1a54f9820b8dd81846adda503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00264-016-3190-7$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00264-016-3190-7$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27903,27904,41467,42536,51297</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27079838$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Özcan, Çağrı</creatorcontrib><creatorcontrib>Sökücü, Sami</creatorcontrib><creatorcontrib>Beng, Kubilay</creatorcontrib><creatorcontrib>Çetinkaya, Engin</creatorcontrib><creatorcontrib>Demir, Bilal</creatorcontrib><creatorcontrib>Kabukçuoğlu, Yavuz Selim</creatorcontrib><title>Prospective comparative study of two methods for fixation after distal femur corrective osteotomy for valgus deformity; retrograde intramedullary nailing versus less invasive stabilization system plating</title><title>International orthopaedics</title><addtitle>International Orthopaedics (SICOT)</addtitle><addtitle>Int Orthop</addtitle><description>Introduction
The aim of this study was to compare the radiological and functional results of two different methods of fixation for the correction of femoral valgus deformities.
Methods
Patients who had undergone osteotomy and correction of a valgus deformity from 2007 to 2013 were prospectively followed. Thirty three patients (20 females, 13 males) with 39 lower limbs were included in the study. Seventeen lower limbs were treated with retrograde intramedullary nailing (IMN) and 22 with less invasive stabilization system plating. Standing orthoroentgenograms of the lower limbs were taken pre-operatively and at the final follow-up. mLDFA, aLDFA, mechanical axis deviation (MAD) were measured in this orthoroentgenograms. Knee osteoarthritis outcome score (KOOS) and knee range of motion were used pre-operatively and at the final follow-up as part of the evaluation of the clinical results. All patients duration of surgery, length of hospital stay were assessed. Operations were performed by two orthopedic surgeons. The choice of correction method for each patient was determined by the surgeon. Pre-operative and post-operative values were simultaneously measured by two additional orthopedic surgeons.
Results
The mean age of the patients was 26.2 years (18.0–51.0) in the plating group and 29.3 years (18.0–55.0) in the nailing group. Patients in the plating and nailing groups were followed up for 24.0 (12.0–60.0) and 27.8 (12.0–60.0) months. All patients were followed for a minimum of 12 months. No significant differences were observed between the groups in terms of age, sex, or duration of follow-up (
p
> 0.05) Comparison of the pre- and post-operative mLDFA, aLDFA, MAD, length of hospital stay, and duration of surgery between the plating group and nailing group, no significant difference was observed between the groups (
p
> 0.05). However, patients treated with retrograde IMN had significantly better post-operative results in terms of the KOOS and range of motion of the knee according to plating group (
p
< 0.05).
Conclusion
Retrograde IMN does not provide a radiological advantage over the LISS plating technique for valgus deformity but retrograde IMN and correction offered better functional results in cases of femoral valgus deformity than did the LISS plating method.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Bone Malalignment - surgery</subject><subject>Bone Plates</subject><subject>Female</subject><subject>Femur - surgery</subject><subject>Fracture Fixation, Internal - instrumentation</subject><subject>Fracture Fixation, Internal - methods</subject><subject>Fracture Fixation, Intramedullary</subject><subject>Humans</subject><subject>Knee Joint - surgery</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Original Paper</subject><subject>Orthopedics</subject><subject>Osteoarthritis, Knee - surgery</subject><subject>Osteotomy - methods</subject><subject>Prospective Studies</subject><subject>Young Adult</subject><issn>0341-2695</issn><issn>1432-5195</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNUcuO1DAQtBCIHRY-gAvykUsWO3ZsR5zQipe0EhzgHHniTsgqiQe3M2z4RX6Kns3AEeGD3S1XVbeqGHsuxZUUwr5CIUqjCyFNoWQtCvuA7aRWZVHJunrIdkJpWZSmri7YE8RbIaQ1Tj5mF6UVtnbK7divzyniAdo8HIG3cTr45O9rzEtYeex4_hH5BPlbDMi7mHg33BEiztx3GRIPA2Y_8g6mJZFASmetiBlijtN6Tzr6sV-QB6BmGvL6mifIKfbJB-DDnJOfICzj6NPKZz-Mw9zzIyQkzgiIBDl63Nbye_r-ua2AK02Z-GGkdu6fskedHxGend9L9vXd2y_XH4qbT-8_Xr-5KVplbS5qcqRsrVJaCKGt0bWnG6quVmYvfVUaU7dggErd1a4UexeCk04bH4KvhLpkLzfdQ4rfF8DcTAO2QNvPEBdspDNOCaul-w8oTTsdTVC5QVtKBBN0zSENExnSSNGc4m62uBuKuznF3VjivDjLL3sy8C_jT74EKDcA0tfcQ2pu45Jmcucfqr8BMzu78A</recordid><startdate>20161001</startdate><enddate>20161001</enddate><creator>Özcan, Çağrı</creator><creator>Sökücü, Sami</creator><creator>Beng, Kubilay</creator><creator>Çetinkaya, Engin</creator><creator>Demir, Bilal</creator><creator>Kabukçuoğlu, Yavuz Selim</creator><general>Springer Berlin Heidelberg</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20161001</creationdate><title>Prospective comparative study of two methods for fixation after distal femur corrective osteotomy for valgus deformity; retrograde intramedullary nailing versus less invasive stabilization system plating</title><author>Özcan, Çağrı ; Sökücü, Sami ; Beng, Kubilay ; Çetinkaya, Engin ; Demir, Bilal ; Kabukçuoğlu, Yavuz Selim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c377t-92692c733400047649a476e5f936b1a52669ce6e1a54f9820b8dd81846adda503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Bone Malalignment - surgery</topic><topic>Bone Plates</topic><topic>Female</topic><topic>Femur - surgery</topic><topic>Fracture Fixation, Internal - instrumentation</topic><topic>Fracture Fixation, Internal - methods</topic><topic>Fracture Fixation, Intramedullary</topic><topic>Humans</topic><topic>Knee Joint - surgery</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Original Paper</topic><topic>Orthopedics</topic><topic>Osteoarthritis, Knee - surgery</topic><topic>Osteotomy - methods</topic><topic>Prospective Studies</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Özcan, Çağrı</creatorcontrib><creatorcontrib>Sökücü, Sami</creatorcontrib><creatorcontrib>Beng, Kubilay</creatorcontrib><creatorcontrib>Çetinkaya, Engin</creatorcontrib><creatorcontrib>Demir, Bilal</creatorcontrib><creatorcontrib>Kabukçuoğlu, Yavuz Selim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>International orthopaedics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Özcan, Çağrı</au><au>Sökücü, Sami</au><au>Beng, Kubilay</au><au>Çetinkaya, Engin</au><au>Demir, Bilal</au><au>Kabukçuoğlu, Yavuz Selim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Prospective comparative study of two methods for fixation after distal femur corrective osteotomy for valgus deformity; retrograde intramedullary nailing versus less invasive stabilization system plating</atitle><jtitle>International orthopaedics</jtitle><stitle>International Orthopaedics (SICOT)</stitle><addtitle>Int Orthop</addtitle><date>2016-10-01</date><risdate>2016</risdate><volume>40</volume><issue>10</issue><spage>2121</spage><epage>2126</epage><pages>2121-2126</pages><issn>0341-2695</issn><eissn>1432-5195</eissn><abstract>Introduction
The aim of this study was to compare the radiological and functional results of two different methods of fixation for the correction of femoral valgus deformities.
Methods
Patients who had undergone osteotomy and correction of a valgus deformity from 2007 to 2013 were prospectively followed. Thirty three patients (20 females, 13 males) with 39 lower limbs were included in the study. Seventeen lower limbs were treated with retrograde intramedullary nailing (IMN) and 22 with less invasive stabilization system plating. Standing orthoroentgenograms of the lower limbs were taken pre-operatively and at the final follow-up. mLDFA, aLDFA, mechanical axis deviation (MAD) were measured in this orthoroentgenograms. Knee osteoarthritis outcome score (KOOS) and knee range of motion were used pre-operatively and at the final follow-up as part of the evaluation of the clinical results. All patients duration of surgery, length of hospital stay were assessed. Operations were performed by two orthopedic surgeons. The choice of correction method for each patient was determined by the surgeon. Pre-operative and post-operative values were simultaneously measured by two additional orthopedic surgeons.
Results
The mean age of the patients was 26.2 years (18.0–51.0) in the plating group and 29.3 years (18.0–55.0) in the nailing group. Patients in the plating and nailing groups were followed up for 24.0 (12.0–60.0) and 27.8 (12.0–60.0) months. All patients were followed for a minimum of 12 months. No significant differences were observed between the groups in terms of age, sex, or duration of follow-up (
p
> 0.05) Comparison of the pre- and post-operative mLDFA, aLDFA, MAD, length of hospital stay, and duration of surgery between the plating group and nailing group, no significant difference was observed between the groups (
p
> 0.05). However, patients treated with retrograde IMN had significantly better post-operative results in terms of the KOOS and range of motion of the knee according to plating group (
p
< 0.05).
Conclusion
Retrograde IMN does not provide a radiological advantage over the LISS plating technique for valgus deformity but retrograde IMN and correction offered better functional results in cases of femoral valgus deformity than did the LISS plating method.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>27079838</pmid><doi>10.1007/s00264-016-3190-7</doi><tpages>6</tpages></addata></record> |
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| ispartof | International orthopaedics, 2016-10, Vol.40 (10), p.2121-2126 |
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| source | MEDLINE; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals; Springer Nature - Complete Springer Journals |
| subjects | Adolescent Adult Bone Malalignment - surgery Bone Plates Female Femur - surgery Fracture Fixation, Internal - instrumentation Fracture Fixation, Internal - methods Fracture Fixation, Intramedullary Humans Knee Joint - surgery Male Medicine Medicine & Public Health Middle Aged Original Paper Orthopedics Osteoarthritis, Knee - surgery Osteotomy - methods Prospective Studies Young Adult |
| title | Prospective comparative study of two methods for fixation after distal femur corrective osteotomy for valgus deformity; retrograde intramedullary nailing versus less invasive stabilization system plating |
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