RESULTS:: A total of 109 children (117 limbs) were identified for inclusion in the study. The average age at the time of the Boyd procedure was 2.8 years. The most common indication for the Boyd procedure was a diagnosis of postaxial limb bud deficiency, which accounted for 66% of cases. Concomitant procedures were performed in 24% of cases and included proximal tibial epiphyseodesis, tibial osteotomy, or knee fusion in the majority of cases. Additional procedures were required in 33% of cases either for treatment of complication (9%) or optimization of the residual limb (24%). For the entire cohort, the complication rate was 14%. Complications were most common when the Boyd procedure was used as a treatment strategy for congenital pseudoarthrosis of the tibia. Prosthetic management utilizing supramalleolar suspension with complete end-bearing through the residual limb was possible for the majority of cases.
CONCLUSIONS:: The Boyd procedure is an effective treatment for various conditions of the lower extremity. Concomitant or additional procedures after the initial intervention may be required for complete optimization of the residual limb.
LEVEL OF EVIDENCE:: Level IV.
PMID: 23872807 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23872807?dopt=Abstract
