Table 2 Summary of published series
From: Lengthening of free fibular grafts for reconstruction of the residual leg length discrepancy
Study | Cases | Topography | Indication | LLD | The site of osteotomy | The interval between FVFG and lengthening (years) | Lengthening procedure after LVFG | Rhythm of lengthening | Complications |
|---|---|---|---|---|---|---|---|---|---|
Ilizarov S et al. [12] | 1 | Humerus | Tumor resection | 9 | The widest area of free fibul | 9 | With monolateral frame | Start on 0.25 mm three times per day for 10 days, then changed to 0.25 mm two times per day | Well-remodeled regenerate and no bone resoption, Right elbow ROM was 0°-150°extebsion-flexion. |
Kanaya F et al. [15] | 1 | Tibia | CPT | 6.2 | Do not state | 8 | With Ilizarov Fixator | Do not state | Rugular activity. |
1 | 4 | 7 | Baseball, run. | ||||||
1 | 4.5 | 9 | Rugular activity. | ||||||
Courvoisier A et al. [32] | 1 | Tibia | Tumor resection | 3 | Through the FVFG | 15 | With Ilizarov Fixator | At a 1-mm per day | No complications occurred during lengthening, had normal gait and normal knee and ankle range of motion. |
1 | Tibia | Tumor resection | 10 | Proximal to the FVFG | 7 | With a monolateral external frame | At a 1-mm per day | Full weightbearing, normal gait, a knee flextion contracture of 10°, and the ankle was stiff with residual equinus of 20°. | |
1 | Tibia | CPT | 11 | The tibia above the FVFG | 10 | With Ilizarov Fixator | At a 1-mm per day | The knee was stable with a flexion contracture of 10° and maximal flexion range of 140°, and the hind foot had a resudual valgus of 10°and equinus of 20°. | |
Jupiter JB et al. [28] | 1 | Tibia | CPT | 8 | Through the FVFG | 12 | With Ilizarov Fixator | Do not state | The osteotomy sites had healed, and the patient can bear full weight. |
Shaw KJ et al. [35] | 1 | Humerus | Tumor resection | 8 | Do not state | Do not state | With a monoaxial external fixator | Do not state | A 20° elbow flexion contracture persisits. |
Our cases | 1 | Tibia | Osteomyelit | 18 | The widest area of free fibul | 11 | With a unilateral external fixator | Distraction at the same as that for native bone | The mean external fixation index has no significant difference to native normal bone,Her ROM of knee and ankle was shown in this content. |
1 | Tibia | Osteomyelit | 9 | The widest area of fibul | 9 | With a unilateral external fixator | Distractionat the same as that for native bone | Has a relapse clubfoot deformity gai, the ROM of knee and ankle was shown in this content. |