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dc.contributor.authorEZİCİ, VOLKAN
dc.contributor.authorSen, Cengiz
dc.contributor.authorAliyev, Orkhan
dc.contributor.authorDEMİRKIRAN, CEMİL BURAK
dc.contributor.authorYILDIZ, FATİH
dc.contributor.authorUZER, GÖKÇER
dc.contributor.authorBalci, Halil Ibrahim
dc.date.accessioned2023-02-21T08:39:47Z
dc.date.available2023-02-21T08:39:47Z
dc.identifier.citationUZER G., Balci H. I., Aliyev O., EZİCİ V., DEMİRKIRAN C. B., YILDIZ F., Sen C., "Plate fixation after lengthening with an external fixator in patients with achondroplasia A comparative study between two centers", ORTHOPADIE, 2022
dc.identifier.issn2731-7145
dc.identifier.othervv_1032021
dc.identifier.otherav_1f5ba3b0-06b9-4406-aa0a-d44307858cba
dc.identifier.urihttp://hdl.handle.net/20.500.12627/186848
dc.identifier.urihttps://doi.org/10.1007/s00132-022-04306-w
dc.description.abstractBackground This study compared internal fixation with a plate after lengthening (PAL) with an external fixator with the conventional method (CM) in terms of radiologic and clinical outcomes in the lower extremities of patients with achondroplasia. Methods In this study 20 patients (50 lower extremity long bones) who underwent PAL or CM were divided into 2 cohort groups. The amount of lengthening, percentage lengthening, external fixator index (EFI), external fixator time, Li regeneration index, complication rate, and knee range of motion (ROM) were compared between the groups. Results The median age was 9.4 years (range 6-16 years) in the PAL group and 12 years (range 9-16 years) in the CM group (p = 0.01). Males comprised 80% of the patients in the PAL group and 47% of the patients in the CM group (p = 0.02). The median amount of lengthening in the PAL and CM groups was 7.5 cm (range 5.5-9.5 cm) and 6.0 cm (range 5.5-9.0 cm), respectively (p < 0.01). The median percentage of lengthening in the PAL and CM groups was 44.6% (range 20.0-70.1%) and 43.0% (range 20.5-57.3%), respectively (p = 0.01). The median external fixator time in the PAL and CM groups was 127 days (range 94-185 days) and 180 days (range 105-355 days), respectively (p < 0.01). The median EFI in the PAL and CM groups was 21 days/cm (range 10-33 days/cm) and 27 days/cm (range 15-59 days/cm), respectively (p < 0.01). The Li regeneration index was 3 (interquartile range, IQR 2-4) in both groups (p = 0.2). The total complication rate was similar between the groups. Conclusion In patients with achondroplasia, after lengthening with an external fixator, internal fixation with a plate can be a reliable alternative to the conventional method.
dc.language.isoeng
dc.subjectAyak Bakımı
dc.subjectOrtopedi ve Spor Hekimliği
dc.subjectOrtopedi ve Travmatoloji
dc.subjectSağlık Bilimleri
dc.subjectCerrahi Tıp Bilimleri
dc.subjectTıp
dc.subjectKlinik Tıp (MED)
dc.subjectKlinik Tıp
dc.subjectORTOPEDİ
dc.titlePlate fixation after lengthening with an external fixator in patients with achondroplasia A comparative study between two centers
dc.typeMakale
dc.relation.journalORTHOPADIE
dc.contributor.departmentBezmiâlem Vakıf Üniversitesi , Tıp Fakültesi , Cerrahi Tıp Bilimleri Bölümü
dc.contributor.firstauthorID4070938


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