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The prevalence of the complications and their associated factors in humeral lengthening for achondroplasia: retrospective study of 54 cases

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The aim of this study is to evaluate the complications of humeral lengthening and their associated factors. Fifty-four achondroplastic patients were treated by bilateral humeral lengthening. Our original shoulder sling was sufficient to prevent shoulder dislocation. Pre-existing radial head dislocation was observed in 18 patients. Lengthening was accomplished in all cases without a decrease in the elbow function. Seven humeri fractured after the fixator removal. The risk factors for postoperative fracture were a waiting period of less than 5 days, a healing index less than 25, and the concave shape of the callus. There was no radial nerve palsy.
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Keywords: achondroplasia; complication; dislocation; fracture; humeral lengthening

Document Type: Research Article

Affiliations: 1: Department of Paediatric Orthopaedics, Shiga Medical Center for Children, Moriyama, Shiga 2: Sky Orthopaedic Clinic, Osaka, Ibaragi, Japan

Publication date: November 1, 2017

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