Research Article

Femoral Reconstruction Using External Fixation

Table 2

Femoral Lengthening data.

Number of patients21
Number of femora23
Age (years)25 (range: 9–57)
Preoperative deformitiesVarus (4), valgus (7), procurvatum (2), internal rotation (2)
Preop medical conditionsRheumatoid arthritis (1), neuropathy (2)
Follow-up time after surgery (months)38.9 (range: 7.3–70.0)
Preoperative varus (mm medial MAD)12.64 (range: 0–35)
Post-operative varus (mm medial MAD)7.0  (range: 0–20)
Pre-operative valgus (mm lateral MAD)16.73 (range: 0–36)
Post-operative valgus (mm lateral MAD)11.29 (range: 0–43)
Pre-operative LDFA (deg.)87.57 (range: 74–102)
Post-operative LFDA (deg.)88.77 (range: 81–98)
Pre-operative knee ROM (deg.)−0.24° (SD 4.9) –132° (SD 4.2)
Post-operative knee ROM (deg.)0.22° (SD 1.0) –123° (SD 12.2)
Preoperative total LLD (cm)4.7 (range: 2.0–12.6)
Preoperative femoral length discrepancy (cm)2.98 (range: 0.8–8.0)
Postoperative total LLD (cm)1.29 (range: 0–8.5)
Postoperative femoral length discrepancy (cm)0.30 (range: 0–2.7)
Number of patients requiring bone graft3
Distraction time (months)1.9 (range: 0.5– 5.1)
Time of consolidation (months)3.87 (range: 0–9.2)
Total time in frame (months)5.78 (range: 0.69–12.1)
External fixation index (months/cm)2.15
ComplicationsKnee contracture (7), pin site infections (6), procurvatum (2), varus (2), osteomyelitis (1), foot drop (1), subtrochanteric fracture secondary to fall (1), recurvatum deformity of proximal tibia (1), ankle equinus contracture (1)

LLD: leg length discrepancy; ROM: range of motion; deg.: degrees; LDFA: lateral distal femoral angle; MAD: mechanical axis deviation; postoperative values in bold.