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Further studies are required to confirm our findings of enhanced growth after the use of knee joint distraction during lengthening procedures, and to find out whether bridging and distracting the knee joint can be recommended in Ilizarov treatment to prevent complications and to stimulate physeal growth.
Chiodo CP, McGarvey W. Joint distraction for the treatment of ankle osteoarthritis.
Joint distraction and mobilization with a hinged external fixator preserves elbow stability and mobility.
After joint distraction, two hinges might be misaligned due to the difference in the structural rigidity of the pins, fixator, and stiffened elbow.
In conclusion, the results conveyed that application of the vacuumic brace is able to create a joint distraction and useful changes in VAS and KPS parameters.
Measurements of patellofemoral joint space width (PFJSW) and patellofemoral joint area (PFJA) showed that the application of the vacuumic brace is able to create a significant patellofemoral joint distraction at both knee angles.
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Recent biomechanical studies of the forces acting on the elbow joint during distraction have shown that at least 1000 Newton act on the joint and fixator construct and that distraction of 15 mm (for two times during the index operation) does not lead to any disruption of the ligaments or joint capsule.
A relatively new surgical procedure intended for joint preservation, distraction arthroplasty, does not use any graft material.
Shim and Park (2006) reported improvement of 7 cases who underwent plantar capsular release on flexion contracture or subluxation of the MTP joint after distraction osteogenesis.
In particular, the effect of the Ilizarov device on adjacent joints during distraction is of concern as it was shown to increase the pressure on articular cartilage.
Total joint reconstruction or distraction osteogenesis has therefore been suggested to reconstruct the ramus-condyle unit [3, 4].
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