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- Title
Description and evaluation of operative deformity correction in calcium-deficiency rickets in Kaduna, northern Nigeria.
- Authors
Wesselsky, Viktor; Kitz, Christa; Jakob, Franz; Eulert, Jochen; Raab, Peter
- Abstract
<bold>Purpose: </bold>Rickets is a recurrent disease worldwide, especially in countries with limited resources (Nield et al Am Fam Physician 74(4):619-626, 2006; Thacher et al Ann Trop Paediatr 26(1):1-16, 2006). Medical therapy including orally administered calcium substitution is shown to improve a patients clinical symptoms and positively impact bone deformities, especially in the lower extremity. Even though orthopaedic intervention is necessary in a significant percentage of patients, few reports exist about operative deformity correction in patients wtih rickets.<bold>Methods: </bold>We describe our concept of operative treatment by single-stage, three-dimensional closing-wedge osteotomies on 45 deformed legs in 27 patients from the rural area of Kaduna, North Nigeria, with calcium-deficiency rickets and evaluate the early results in a 1.5-year follow-up.<bold>Results: </bold>We found a significant improvement in parameters of quality of life, functionality, clinical and radiological angulation and angles following the definition of Paley et al., with a complication rate of 4 % under 88 osteotomies (Paley et al Orthop Clin North Am 25(3):425-65, 1994).<bold>Conclusion: </bold>The described operative therapy shows to be sufficient and with satisfactory results in correcting rickets-related leg deformities under rural circumstances with low availability of medical resources.
- Subjects
KADUNA (Nigeria); NIGERIA; CALCIUM deficiency; RICKETS treatment; BONE physiology; TREATMENT of leg abnormalities; MENTAL health; QUALITY of life; LEG bones; CALCIUM; COMPARATIVE studies; LONGITUDINAL method; RESEARCH methodology; MEDICAL cooperation; OSTEOTOMY; RESEARCH; EVALUATION research; RICKETS; PSYCHOLOGY; SURGERY
- Publication
International Orthopaedics, 2016, Vol 40, Issue 4, p653
- ISSN
0341-2695
- Publication type
journal article
- DOI
10.1007/s00264-015-2911-7