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dc.contributor.authorTwigg, Peter C.*
dc.contributor.authorBuckley, John G.*
dc.contributor.authorGiannikas, K.A.*
dc.contributor.authorWilkes, R.A.*
dc.date.accessioned2009-12-17T14:49:34Z
dc.date.available2009-12-17T14:49:34Z
dc.date.issued2005
dc.identifier.citationTwigg, P.C., Buckley, J.G., Giannikas, L.A. and Wilkes, R.A. (2005). Functional outcome following bone transport reconstruction of distal tibial defects. The Journal of Bone and Joint Surgery. Vol. 87, No. 2, pp. 145-152.en
dc.identifier.urihttp://hdl.handle.net/10454/4134
dc.descriptionNoen
dc.description.abstractLittle has been written about the functional outcome of patients treated with bone transport to reconstruct a distal tibial defect. The aim of this study was to investigate the functional capabilities of patients who had undergone reconstruction with distraction osteogenesis for the treatment of a distal tibial defect in one lower limb. At least eighteen months after completion of treatment, eight patients who had no pain and were able to walk and climb stairs without difficulty performed isometric ankle plantar flexion maximum voluntary contractions while the electromyographic activity of the tibialis anterior and triceps surae muscles was simultaneously recorded. Seven of the patients also underwent gait analysis. Data for the involved limb were compared with those collected for the contralateral limb. During gait, stance time (p = 0.01), the plantar flexion angular displacement and peak moment developed during the second half of stance (p < 0.046), and the amount of ankle power generated (p = 0.02) were significantly decreased in the involved limb compared with the contralateral limb. Similar decreases were observed in the plantar flexion (p = 0.01) and dorsiflexion (p = 0.01) maximum voluntary contractions and the corresponding electromyographic activity (p = 0.01). These results suggest that adaptive changes had occurred at the level of the transported muscles, which affected both routine and maximal effort capabilities. These findings contribute to our understanding of the functional limitations of patients who have undergone bone transport with its obligatory shortening of muscle length.en
dc.language.isoenen
dc.relation.isreferencedbyhttp://dx.doi.org/10.2106/JBJS.C.01550en
dc.subjectBone Transporten
dc.subjectDistal Tibial Defecten
dc.subjectFunctional Outcomeen
dc.subjectReconstructionen
dc.subjectDistraction Osteogenesisen
dc.titleFunctional outcome following bone transport reconstruction of distal tibial defectsen
dc.status.refereedYesen
dc.typeArticleen
dc.type.versionNo full-text available in the repositoryen


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