Knee arthritis in congenital short femur after Wagner lengthening

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dc.contributor.authorJeong, Changhoon
dc.contributor.authorInan, Muharrem
dc.contributor.authorRiddle, Eric C.
dc.contributor.authorGabos, Peter G.
dc.contributor.authorBowen, J. Richard
dc.date.accessioned2024-08-04T20:59:48Z
dc.date.available2024-08-04T20:59:48Z
dc.date.issued2006
dc.departmentİnönü Üniversitesien_US
dc.description.abstractKnee anomalies are common in patients with congenital short femurs who require lengthening to correct limb-length discrepancies. We retrospectively reviewed the incidence of knee arthritis and the factors influencing its occurrence after femoral lengthening using the Wagner method. Twenty-three patients with congenital short femurs treated with the Wagner method were followed up until skeletal maturity (minimum, 5 years postoperatively). The mean age of the patients at lengthening was 10.8 years (range, 8.4-14.5 years). The mean leg-length discrepancy at the time of surgery was 9.7 cm (femur, 7.6 +/- 3.7 cm; tibia, 2.1 +/- 1.8 cm). Femoral lengthening (mean, 7.9 cm) was performed in 17 patients. Femoral lengthening and tibial lengthening were performed simultaneously in six patents (mean, 11.8 cm). The mean age of the patients at the last followup was 16.8 years (range, 14-20.3 years). Eighteen patients had arthritis at followup. Nine patients had severe arthritis develop, seven of whom had knee instability preoperatively and temporary subluxation during the lengthening procedure. Seventy-eight percent of patients had arthritis develop in the knee after lower-limb lengthening using the Wagner method for congenital short femurs. Patients who had an unstable knee before surgery had temporary knee subluxation develop during the lengthening procedure, and patients who had simultaneous lengthening of the femur and tibia had a high association with degenerative arthritis changes in the knee.en_US
dc.identifier.doi10.1097/01.blo.0000229295.44592.30
dc.identifier.endpage181en_US
dc.identifier.issn0009-921X
dc.identifier.issn1528-1132
dc.identifier.issue451en_US
dc.identifier.pmid16801863en_US
dc.identifier.startpage177en_US
dc.identifier.urihttps://doi.org/10.1097/01.blo.0000229295.44592.30
dc.identifier.urihttps://hdl.handle.net/11616/103548
dc.identifier.wosWOS:000243021200033en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofClinical Orthopaedics and Related Researchen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectArticular-Cartilageen_US
dc.subjectLower-Extremityen_US
dc.subjectCallus Distractionen_US
dc.subjectJointen_US
dc.subjectSubluxationen_US
dc.subjectHypoplasiaen_US
dc.subjectManagementen_US
dc.subjectDeficiencyen_US
dc.subjectRabbitsen_US
dc.subjectInjuryen_US
dc.titleKnee arthritis in congenital short femur after Wagner lengtheningen_US
dc.typeArticleen_US

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