Skip Navigation LinksHome > September/October 2002 - Volume 22 - Issue 5 > Deformity Correction of Knee and Leg Lengthening by Ilizarov...
Journal of Pediatric Orthopaedics:
Lower Limb

Deformity Correction of Knee and Leg Lengthening by Ilizarov Method in Hypophosphatemic Rickets: Outcomes and Significance of Serum Phosphate Level

Choi, In Ho M.D.*; Kim, Jae Kwang M.D.*; Chung, Chin Youb M.D.*; Cho, Tae-Joon M.D.*; Lee, Seok Hyun M.D.†; Suh, Seong Woo M.D.†; Whang, Kuhn Sung M.D.‡; Park, Hui Wan M.D.§; Song, Kwang Soon M.D.∥

Collapse Box

Abstract

The authors evaluated 14 patients with hypophosphatemic rickets who underwent correction of a knee deformity along with a leg lengthening by the Ilizarov method. Deformity correction alone was performed in 8 femora and 4 tibiae-fibulae, and concomitant deformity correction and limb lengthening (>1.0 cm) in 9 femora and 19 tibiae-fibulae. The healing index correlated with the biochemical parameters. Knee deformities were satisfactorily corrected in all patients except one. There was a statistically significant negative correlation between the healing index and the serum phosphate level: those who had a serum phosphate level higher than 2.5 mg/dL showed a relatively rapid regenerate bone healing compared with those with less than 2.5 mg/dL. The authors conclude that a serum phosphate level of 2.5 mg/dL as a cut-off point should be considered in deciding whether deformity correction alone or with a concomitant leg lengthening should be undertaken.

© 2002 Lippincott Williams & Wilkins, Inc.

The Pediatric Orthopaedic Society of North America (POSNA)
is a group of healthcare professionals, primarily pediatric orthopaedic surgeons, dedicated to advancing musculoskeletal care of children and adolescents. JPO is our official member journal. 
Like us on facebook and become a member today!

Login

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.