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A comparative study of the correction of femoral deformity between the Ilizarov apparatus and Ortho-SUV frame

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Abstract

Purposes

This study compared the six-axis external fixator Ortho-SUV Frame (OSF) and the Ilizarov apparatus (IA) in femoral deformity correction. Our specific questions were: (1) which of the fixators (OSF or IA) provides shorter period of femoral deformity correction, and (2) which of the fixators (OSF or IA) provides better accuracy of correction.

Methods

We retrospectively analysed 123 cases of femoral deformities (127 femora): 45 (47) treated with OSF (20 male and 27 female) and 78 (80) with IA (53 male and 27 female). The average age in the OSF group was 34.6 (range, 18–66) and in the IA group 35.8 (range, 18–76). All the deformities were categorized according to the number of planes and deformity components as simple, middle and complex deformities.

Results

Elimination of simple deformities in the IA group took 58.3 ± 21.4 days, EFI 58.8 ± 39.8 days/cm, and lengthening was 4.6 ± 1.98 cm. Middle deformities were 71.3 ± 26.2, 61.9 ± 30.3 and 4 ± 2, respectively. In complex deformities we had 105.2 ± 21.8, 79.3 ± 35.4 and 3.2 ± 1.45, respectively. Normal alignment was achieved in 55.0 % of cases in IA. In 45.0 % of cases we had residual deformity. Elimination of simple deformations in the OSF group took 55.3 ± 12.8 days, EFI 47.5 ± 23 days/cm, and lengthening 4.5 ± 1.1сm. Middle deformities were 43.6 ± 18.9, 59 ± 14.6 and 3.6 ± 2, respectively. In complex deformities we had 44.9 ± 11.5, 57.5 ± 9.4 and 3.6 ± 1.7, respectively. In the OSF group normal alignment was achieved in 85.1 %. In 14.9 % there was residual deformity.

Conclusion

Using OSF simplifies deformity correction and reduces its period by 2.3 times in complex deformities and by 1.6 times in middle deformities. Accuracy of correction with OSF was significantly higher than correction with IA.

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References

  1. Aronson J (1997) Current concepts review—limb lengthening, skeletal reconstruction and bone transport with the Ilizarov method. J Bone Joint Surg Am 79(8):1243–1258

    PubMed  CAS  Google Scholar 

  2. Dahl MT, Gulli B, Berg T (1994) Complications of limb lengthening. A learning curve. Clin Orthop Relat Res 301:10–18

    PubMed  Google Scholar 

  3. Dammerer D, Kirschbichler K, Donnan L, Kaufmann G, Krismer M, Biedermann R (2011) Clinical value of the Taylor Spatial Frame: a comparison with the Ilizarov and Orthofix fixators. J Child Orthop 5:343–349

    Article  PubMed Central  PubMed  CAS  Google Scholar 

  4. Eidelman M, Bialik V, Katzman A (2006) Correction of deformities in children using the Taylor spatial frame. J Pediatr Orthop B 15(6):387–395

    Article  PubMed  Google Scholar 

  5. Fadel M, Hosny G (2005) The Taylor Spatial Frame for deformity correction in the lower limbs. Int Orthop 29:125–129

    Article  PubMed Central  PubMed  Google Scholar 

  6. Ganger R, Radler C, Speigner B, Grill F (2010) Correction of post-traumatic lower limb deformities using the Taylor spatial frame. Int Orthop 34(5):723–730

    Article  PubMed Central  PubMed  Google Scholar 

  7. Gugenheim JJ Jr, Brinker MR (2003) Bone realignment with use of temporary external fixation for distal femoral valgus and varus deformities. J Bone Joint Surg Am 85:1229–1237

    PubMed  Google Scholar 

  8. Ilizarov GA (1992) The Apparatus: Components and Biomechanical Principles of Application. In: Transosseous osteosynthesis. Springer, Berlin, pp 63–120

  9. Kettelkamp DB, Hillberry BM, Murrish DE, Heck DA (1988) Degenerative arthritis of the knee secondary to fracture malunion. Clin Orthop Relat Res 234:159–169

    PubMed  Google Scholar 

  10. Manner HM, Huebl M, Radler C, Ganger R, Petje G, Grill F (2007) Accuracy of complex lower-limb deformity correction with external fixation: a comparison of the Taylor spatial frame with the Ilizarov ring fixator. J Child Orthop 1(1):55–61

    Article  PubMed Central  PubMed  Google Scholar 

  11. Marangoz S, Feldman DS, Sala DA, Hyman JE, Vitale MG (2008) Femoral deformity correction in children and young adults using Taylor spatial frame. Clin Orthop Relat Res 466(12):3018–3024

    Article  PubMed Central  PubMed  Google Scholar 

  12. Morsy A, Tsuchiya H, Matsubara H, Kabata T, Tomita K (2007) Ilizarov deformity correction of the lower limbs in Ellis-van Creveld syndrome. J Orthop Sci 12:505–509

    Article  PubMed  Google Scholar 

  13. Palatnik Y, Rozbruch SR (2011) Femoral reconstruction using external fixation. Adv Orthop 2011:967186. doi:10.4061/2011/967186, Article ID 967186

    PubMed Central  PubMed  Google Scholar 

  14. Paley D (2011) History and science behind the six-axis correction external fixation devices in orthopaedic surgery. Oper Tech Orthop 21:125–128

    Article  Google Scholar 

  15. Paley D, Herzenberg JE, Tetsworth K, McKie J, Bhave A (1994) Deformity planning for frontal and sagittal plane corrective osteotomies. Orthop Clin North Am 25:425–465

    PubMed  CAS  Google Scholar 

  16. Probe RA (2003) Lower extremity angular malunion. J Am Acad Orthop Surg 11:302–311

    PubMed  Google Scholar 

  17. Rozbruch SR, Fragomen AT, Ilizarov S (2006) Correction of tibial deformity with use of the Ilizarov-Taylor spatial frame. J Bone Joint Surg Am 88(suppl 4):156–174

    Article  PubMed  Google Scholar 

  18. Sabharwal S (2009) Blount disease. J Bone Joint Surg Am 91:1758–1776

    Article  PubMed  Google Scholar 

  19. Sakurakichi K, Tsuchiya H, Uehara K, Kabata T, Tomita K (2002) The relationship between distraction length and treatment indices during distraction osteogenesis. J Orthop Sci 7:298–303

    Article  PubMed  Google Scholar 

  20. Seide K, Wolter D, Kortmann HR (1999) Fracture reduction and deformity correction with the hexapod Ilizarov fixator. Clin Orthop 368:195–201

    Google Scholar 

  21. Sharma L, Eckstein F, Song J, Guermazi A, Prasad P, Kapoor D, Cahue S, Marshall M, Hudelmaier M, Dunlop D (2008) Relationship of meniscal damage, meniscal extrusion, malalignment, and joint laxity to subsequent cartilage loss in osteoarthritic knees. Arthritis Rheum 58:1716–1726

    Article  PubMed  Google Scholar 

  22. Solomin LN (2012) Deformity Correction and Fracture Treatment Using the Software-Based Ortho-SUV Frame. In: The basic principles of external skeletal fixation using the Ilizarov and other devices, 2nd edition. Springer-Verlag, Milan, Heidelberg, New York, p 1593

  23. Takata M, Vilensky VA, Tsuchiya H, Solomin LN (2013) Foot deformity correction with hexapod external fixator, the Ortho-SUV Frame™. J Foot Ankle Surg 52(3):324–330

    Article  PubMed  Google Scholar 

  24. Tetsworth KD, Paley D (1994) Accuracy of correction of complex lower extremity deformities by the Ilizarov method. Clin Orthop Relat Res 301:102–110

    PubMed  Google Scholar 

  25. Waizy H, Windhagen H, Stukenborg-Colsman C, Floerkemeier T (2011) Taylor spatial frame in severe foot deformities using double osteotomy: technical approach and primary results. Int Orthop 35(10):1489–1495

    Article  PubMed Central  PubMed  Google Scholar 

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Acknowledgments

The authors did not receive any fund or grant from any professional body or institution. We thank Konstantin L. Korchagin, MD, Pavel N. Kulesh, MD, PhD and Alexander I. Utechin for their contributions to the study. We also thank Olga A. Klitcenko, PhD, biostatistician, for statistical support.

Conflict of interest

No competing interests declared.

Ethical review committee statement

Each author certifies that his or her institution has approved or waived approval for the human protocol for this investigation and that all investigations were conducted in conformity with the ethical principles of research.

A statement about the location

This study was made at the Vreden Russian Research Institute of Traumatology and Orthopedics, St. Petersburg, Russia.

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Authors and Affiliations

  1. Vreden Russian Research Institute of Traumatology and Orthopaedics, 8 Baykova Str., St. Petersburg, 195427, Russia

    Leonid N. Solomin, Elena А. Shchepkina, Victor A. Vilensky & Petr V. Skomoroshko

  2. Paley Advanced Limb Lengthening Institute St. Mary’s Hospital, 901 45th Street Kimmel Building, West Palm Beach, FL, 33407, USA

    Dror Paley

Authors
  1. Leonid N. Solomin
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  2. Dror Paley
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  3. Elena А. Shchepkina
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  4. Victor A. Vilensky
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  5. Petr V. Skomoroshko
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Correspondence to Leonid N. Solomin.

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Solomin, L.N., Paley, D., Shchepkina, E.А. et al. A comparative study of the correction of femoral deformity between the Ilizarov apparatus and Ortho-SUV frame. International Orthopaedics (SICOT) 38, 865–872 (2014). https://doi.org/10.1007/s00264-013-2247-0

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  • DOI: https://doi.org/10.1007/s00264-013-2247-0

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