Recovery of muscle strength and power after limb-lengthening surgery.
OBJECTIVE: To report muscle strength, power, and function after limb-lengthening surgery performed by using the Ilizarov technique. DESIGN: Prospective, longitudinal observational study of a cohort of consecutive patients who underwent limb-lengthening distraction followed up for 2 years after surg...
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| Format: | Journal article |
| Language: | English |
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2010
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| _version_ | 1826299340276105216 |
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| author | Barker, K Lamb, S Simpson, H |
| author_facet | Barker, K Lamb, S Simpson, H |
| author_sort | Barker, K |
| collection | OXFORD |
| description | OBJECTIVE: To report muscle strength, power, and function after limb-lengthening surgery performed by using the Ilizarov technique. DESIGN: Prospective, longitudinal observational study of a cohort of consecutive patients who underwent limb-lengthening distraction followed up for 2 years after surgery. SETTING: National Health Service hospital specializing in orthopedic surgery. PARTICIPANTS: Patients (N=16) who had undergone limb-lengthening surgery performed by using the Ilizarov method (11 men, 5 women; mean age=27 y; range, 13-56 y). INTERVENTIONS: None. MAIN OUTCOME MEASURES: Muscle strength and power were assessed by using 2 validated measures: isokinetic concentric strength of the quadriceps and hamstrings measured by using a dynamometer and leg extensor power. Measures were recorded preoperatively and at 6, 12, and 24 months after the completion of lengthening. Function was measured by 2 timed tests of functional performance: stair climbing and sit-to-stand. RESULTS: Overall results were good with high reports of function and satisfactory clinical examination. Both concentric muscle strength and leg power showed a clear pattern of decreased muscle strength at 6 months after frame removal, improving throughout the study period until it was within 3% of the preoperative value at 2 years. By 2 years, self-reported function and ability to complete timed functional tests had returned to or improved on the preoperative values. Muscle strength remained slightly below the preoperative value; this was more pronounced in the quadriceps than the hamstrings. There was no association between muscle strength and the amount of lengthening that had been undertaken. CONCLUSIONS: This study suggests that there is a small residual decrease in muscle strength and power after limb-lengthening surgery but that these do not adversely impact on a patients' ability to perform everyday functional activities. |
| first_indexed | 2024-03-07T05:00:27Z |
| format | Journal article |
| id | oxford-uuid:d8175b24-6dc0-4dff-b926-7801c5627c80 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-07T05:00:27Z |
| publishDate | 2010 |
| record_format | dspace |
| spelling | oxford-uuid:d8175b24-6dc0-4dff-b926-7801c5627c802022-03-27T08:45:49ZRecovery of muscle strength and power after limb-lengthening surgery.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:d8175b24-6dc0-4dff-b926-7801c5627c80EnglishSymplectic Elements at Oxford2010Barker, KLamb, SSimpson, H OBJECTIVE: To report muscle strength, power, and function after limb-lengthening surgery performed by using the Ilizarov technique. DESIGN: Prospective, longitudinal observational study of a cohort of consecutive patients who underwent limb-lengthening distraction followed up for 2 years after surgery. SETTING: National Health Service hospital specializing in orthopedic surgery. PARTICIPANTS: Patients (N=16) who had undergone limb-lengthening surgery performed by using the Ilizarov method (11 men, 5 women; mean age=27 y; range, 13-56 y). INTERVENTIONS: None. MAIN OUTCOME MEASURES: Muscle strength and power were assessed by using 2 validated measures: isokinetic concentric strength of the quadriceps and hamstrings measured by using a dynamometer and leg extensor power. Measures were recorded preoperatively and at 6, 12, and 24 months after the completion of lengthening. Function was measured by 2 timed tests of functional performance: stair climbing and sit-to-stand. RESULTS: Overall results were good with high reports of function and satisfactory clinical examination. Both concentric muscle strength and leg power showed a clear pattern of decreased muscle strength at 6 months after frame removal, improving throughout the study period until it was within 3% of the preoperative value at 2 years. By 2 years, self-reported function and ability to complete timed functional tests had returned to or improved on the preoperative values. Muscle strength remained slightly below the preoperative value; this was more pronounced in the quadriceps than the hamstrings. There was no association between muscle strength and the amount of lengthening that had been undertaken. CONCLUSIONS: This study suggests that there is a small residual decrease in muscle strength and power after limb-lengthening surgery but that these do not adversely impact on a patients' ability to perform everyday functional activities. |
| spellingShingle | Barker, K Lamb, S Simpson, H Recovery of muscle strength and power after limb-lengthening surgery. |
| title | Recovery of muscle strength and power after limb-lengthening surgery. |
| title_full | Recovery of muscle strength and power after limb-lengthening surgery. |
| title_fullStr | Recovery of muscle strength and power after limb-lengthening surgery. |
| title_full_unstemmed | Recovery of muscle strength and power after limb-lengthening surgery. |
| title_short | Recovery of muscle strength and power after limb-lengthening surgery. |
| title_sort | recovery of muscle strength and power after limb lengthening surgery |
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