Research Article

Femoral Reconstruction Using External Fixation

Table 4

Bone transport and nonunion repair.

Number of patients10
Number of femora10
Age (years)41.5 (range: 11–89)
Follow-up time after surgery (months)53.0 (range: 13.6–75.7)
Pre-operative deformities Varus (3), internal rotation (2), external rotation (2)
Pre-operative medical conditionsOsteomyelitis (4), neuropathy (3), diabetes (1)
Pre-operative varus (mm medial MAD)36.8 (range 0–64)
Post-operative varus (mm medial MAD)11.3 (range: 0–44)
Pre-operative valgus (mm lateral MAD)7.0 (range: 0–14.0)
Post-operative valgus (mm lateral MAD)3.2 (0–9.0)
Pre-operative LDFA (deg.)94.0 (range: 79–106)
Post-operative LFDA (deg.)85.9 (range: 81–92)
Pre-operative knee range of motion (deg.)0.0° (SD: 0) –71.43° (SD: 60.67)
Post-operative knee range of motion (deg.)0.0° (SD: 0) –46.67° (SD: 52.97)
Preoperative total bone loss (cm)7.1 (range: 0.0–16.5)
Post-operative total LLD (cm)1.7 (range: 0.0–5.0)
Pre-operative femoral length discrepancy (cm)5.7 (0.0–16.5)
Post-operative femoral length discrepancy (cm)0.4 (range: 0.0–1.4)
Number of patients requiring bone graft7
Distraction time (months)4.3 (range: 0.7–6.7; SD: 1.97)
Time of fixation (months)5.6 (range: 0–12.5, SD: 4.1)
Total time in frame (months)9.9 (range: 0.95–17.8)
External fixation index (months/cm)1.86
ComplicationsPin site infection (2), chronic osteomyelitis leading to amputation (1),
knee contracture (1), internal rotation (1), varus (1), recurvatum (1)

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