No | Union time (mth) | Number of operations before union | Type of union | Po-op LLD (mm) | LLD at final follow-up (mm) | Complications | Additional Treatment |
---|---|---|---|---|---|---|---|
1 | 5 | 1 | Primary | 42 | 6 | Left ankle valgus | Hemiepiphyseodesis of medial distal tibia |
Limb lengthening | |||||||
2 | 4 | 1 | Primary | 31 | 12 | Right ankle valgus | Hemiepiphyseodesis of medial distal tibia |
3 | 10 | 3 | Secondary | 50 | 23 | Pin tract infection | Dressing change and oral administration of antibiotics |
Delayed union | Prolonged external fixation, bone graft | ||||||
Refracture (1 month after | Cast immobolization, then nail reinsertion | ||||||
external fixation removal) | and external fixation | ||||||
4 | 3 | 1 | Primary | 27 | 17 | None | None |
5 | 5 | 1 | Primary | 63 | 42 | None | None |
6 | 6 | 1 | Primary | 32 | 24 | Tibia valgus and recurvature | Nail change |
Refracture (4 years after initial union) | Hemiepiphyseodesis of medial distal tibia, fracture reduction, nails reinsertion | ||||||
7 | 6 | 1 | Primary | 60 | 41 | None | None |
8 | 2 | 1 | Primary | 47 | 30 | Right ankle valgus | Hemiepiphysiodesis of medial distal tibia |
9 | 3 | 1 | Primary | 40 | 22 | Left knee valgus | Hemiepiphysiodesis of medial proximal tibia |
10 | 11 | 2 | Secondary | 135 | 141 | Pin tract infection | Dressing change and oral administration of antibiotics |
Delayed union | Debridement, nail change, drainage of wound, prolonged external fixation and bone graft | ||||||
Limb lengthening | |||||||
11 | 6 | 1 | Primary | 52 | 35 | Pin tract infection | Dressing change and oral administration of antibiotics |
12 | 3 | 1 | Primary | 13 | 20 | None | None |
13 | 4 | 1 | Primary | 55 | 29 | Pin tract infection | Dressing change and oral administration of antibiotics |
14 | 6 | 1 | Primary | 64 | 48 | None | None |
15 | 3 | 1 | Primary | 45 | 20 | None | None |
16 | 4 | 1 | Primary | 43 | 22 | None | None |
17 | 5 | 1 | Primary | 38 | 35 | None | None |