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Abstract
La pratique de l'allongement des membres est peu répandue en Afrique alors que ses applications sont tout aussi nombreuses qu'en Occident où il suscite beaucoup d'engouement ces dernières années. Le but de cette étude est de rapporter une expérience du traitement d'une inégalité de longueur des membres inférieurs sur hémimélie fibulaire par allongement par le fixateur externe d’Ilizarov.
Il s'agit d'un jeune garçon de 6 ans qui présentait une inégalité de longueur gênante de 130 mm sur hémimélie fibulaire avec brièveté et incurvation du tibia gauche. Ce tibia a été allongé par la technique classique d'Ilizarov : ostéotomie et allongement progressif. Le rythme d'allongement était de 1 mm par jour (1/2 mm deux fois par jour).
L'objectif de 130 mm a été atteint après 139 jours. Le garçon a porté le fixateur externe d'Ilizarov pendant 268 jours. Quelques complications ont été rapportées mais en aucun cas elles n’ont entraîné l'arrêt du traitement : douleurs, infections des broches et aggravation du genu valgum initial
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References
- Achterman C, Kalamchi A. Congenital deficiency of the fibula. J Bone Joint Surg Br 61:133, 1979.
- Stanitski DF, Stanitski CL. Fibular hemimelia: a new classification system. J Pediatr Orthop. 23(1):30-4, 2003.
- Coventry MB and Johnson EW. Congenital absence of the fibula. J Bone Joint Surg. 34-A:941, 1952.
- Stevens PM, Arms D. Postaxial hypoplasia of the lower extremity. J Pediatr Orthop. 20(2):166-72, 2000.
- Kaya A, Guclu B, Omeroglu H, Tumer Y. Ipsilateral teratologic high hip dislocation, femoral hypoplasia and below-knee hemimelia associated with contralateral fibular hemimelia: report of a case with functional result. J Pediatr Orthop B. 17(2):77-80, 2008.
- Tonbul M, Adas M, Keris I. Combined fibular and tarsal agenesis in a case of lower extremity hemimelia. J Foot Ankle Surg. 46(4):278-82, 2007.
- Subhani M, Akangire G, Kulkarni A, Wilson GN. Al-Awadi/Raas-Rothschild/Schinzel (AARRS) phocomelia syndrome: case report and developmental field analysis. J Foot Ankle Surg. 46(4):278-82, 2007.
- Jack CY, Cheng KW, Cheung KW. Severe progressive deformities after limb lengthening in type II fibular hémimélie. J Bone Joint Surg Br 80:772-776, 1998.
- Eze KC, Akhigbe AO, Awosanya GO. Fibular hemimelia: a case report.
- Niger J Clin Pract. 10(3):259-61, 200.
- Papaioannou T, Stokes I, and Kenwright J. Scoliosis associated with limb-length inequality. J. Bone and Joint Surg., 64-A: 59-62, Jan. 1982.
- Rauch F, Lozier D, Croteau S, Travers F, Glorieux FH, Hamdy R. Temporal and spatial expression of bone morphogenetic protein-2, -4, and -7 during distraction osteogenesis in rabbits. Bone 26(6) : 611-617, 2000.
- Paley D. Current techniques of limb lengthening; J Pediatr Orthop; 8:73, 1988.
- El-Sayed MM, Correll J, Pohlig K. Limb sparing reconstructive surgery and Ilizarov lengthening in fibular hemimelia of Achterman-Kalamchi type II patients. J Pediatr Orthop B. 19(1):55-60, 2010.
- Hosny GA. Treatment of tibial hemimelia without amputation: preliminary report. J Pediatr Orthop B. 14(4):250-5, 2005.
- Zarzycki D, Jasiewicz B, Kacki W, Koniarski A, Kasprzyk M, Zarzycka M, Tesiorowski M. Limb lengthening in fibular hemimelia type II: can it be an alternative to amputation? J Pediatr Orthop B. 19(1):55-60, 2010.
- Tomás-Gil J, Valverde Belda D, Chismol-Abad J, Valverde-Mordt C. Complete fibular hemimelia: a long-term review of four cases. Acta Orthop Belg. 68(3):265-71, 2002.
- Cheng JC, Cheung KW, Ng BK Severe progressive deformities after limb lengthening in type-II fibular hemimelia. J Bone Joint Surg Br. 80(5):772-6, 1998.
- McCarthy JJ, Glancy GL, Chnag FM, Eilert RE. Fibular hemimelia: Comparison of Outcome Measurements after Amputation and Lengthening. J Bone Surg. 82A(12): 1732-1735, 2000.
- Naudie D, Hamdy RC, Fassier F, Morin B, Duhaime M. Management of fibular hemimelia: amputation or limb lengthening. J Bone Joint Surg Br. 79(1):58-65, 1997.
References
Achterman C, Kalamchi A. Congenital deficiency of the fibula. J Bone Joint Surg Br 61:133, 1979.
Stanitski DF, Stanitski CL. Fibular hemimelia: a new classification system. J Pediatr Orthop. 23(1):30-4, 2003.
Coventry MB and Johnson EW. Congenital absence of the fibula. J Bone Joint Surg. 34-A:941, 1952.
Stevens PM, Arms D. Postaxial hypoplasia of the lower extremity. J Pediatr Orthop. 20(2):166-72, 2000.
Kaya A, Guclu B, Omeroglu H, Tumer Y. Ipsilateral teratologic high hip dislocation, femoral hypoplasia and below-knee hemimelia associated with contralateral fibular hemimelia: report of a case with functional result. J Pediatr Orthop B. 17(2):77-80, 2008.
Tonbul M, Adas M, Keris I. Combined fibular and tarsal agenesis in a case of lower extremity hemimelia. J Foot Ankle Surg. 46(4):278-82, 2007.
Subhani M, Akangire G, Kulkarni A, Wilson GN. Al-Awadi/Raas-Rothschild/Schinzel (AARRS) phocomelia syndrome: case report and developmental field analysis. J Foot Ankle Surg. 46(4):278-82, 2007.
Jack CY, Cheng KW, Cheung KW. Severe progressive deformities after limb lengthening in type II fibular hémimélie. J Bone Joint Surg Br 80:772-776, 1998.
Eze KC, Akhigbe AO, Awosanya GO. Fibular hemimelia: a case report.
Niger J Clin Pract. 10(3):259-61, 200.
Papaioannou T, Stokes I, and Kenwright J. Scoliosis associated with limb-length inequality. J. Bone and Joint Surg., 64-A: 59-62, Jan. 1982.
Rauch F, Lozier D, Croteau S, Travers F, Glorieux FH, Hamdy R. Temporal and spatial expression of bone morphogenetic protein-2, -4, and -7 during distraction osteogenesis in rabbits. Bone 26(6) : 611-617, 2000.
Paley D. Current techniques of limb lengthening; J Pediatr Orthop; 8:73, 1988.
El-Sayed MM, Correll J, Pohlig K. Limb sparing reconstructive surgery and Ilizarov lengthening in fibular hemimelia of Achterman-Kalamchi type II patients. J Pediatr Orthop B. 19(1):55-60, 2010.
Hosny GA. Treatment of tibial hemimelia without amputation: preliminary report. J Pediatr Orthop B. 14(4):250-5, 2005.
Zarzycki D, Jasiewicz B, Kacki W, Koniarski A, Kasprzyk M, Zarzycka M, Tesiorowski M. Limb lengthening in fibular hemimelia type II: can it be an alternative to amputation? J Pediatr Orthop B. 19(1):55-60, 2010.
Tomás-Gil J, Valverde Belda D, Chismol-Abad J, Valverde-Mordt C. Complete fibular hemimelia: a long-term review of four cases. Acta Orthop Belg. 68(3):265-71, 2002.
Cheng JC, Cheung KW, Ng BK Severe progressive deformities after limb lengthening in type-II fibular hemimelia. J Bone Joint Surg Br. 80(5):772-6, 1998.
McCarthy JJ, Glancy GL, Chnag FM, Eilert RE. Fibular hemimelia: Comparison of Outcome Measurements after Amputation and Lengthening. J Bone Surg. 82A(12): 1732-1735, 2000.
Naudie D, Hamdy RC, Fassier F, Morin B, Duhaime M. Management of fibular hemimelia: amputation or limb lengthening. J Bone Joint Surg Br. 79(1):58-65, 1997.