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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Rozbruch, S. Robert Kleinman, Dawn Fragomen, Austin T. Ilizarov, Svetlana |
| Description | Country affiliation: United States Author Affiliation: Rozbruch SR ( Institute for Limb Lengthening and Reconstruction, Limb Lengthening and Deformity Service, Hospital for Special Surgery, Weill Medical College of Cornell University, 535 East 70th Street, New York, NY 10021, USA. RozbruchSR@hss.edu) |
| Abstract | UNLABELLED: Distraction osteogenesis is an effective method for lengthening, deformity correction, and treatment of nonunions and bone defects. The classic method uses an external fixator for both distraction and consolidation leading to lengthy times in frames and there is a risk of refracture after frame removal. We suggest a new technique: lengthening and then nailing (LATN) technique in which the frame is used for gradual distraction and then a reamed intramedullary nail inserted to support the bone during the consolidation phase, allowing early removal of the external fixator. We performed a retrospective case-matched comparison of patients lengthened with LATN (39 limbs in 27 patients) technique versus the classic (34 limbs in 27 patients). The LATN group wore the external fixator for less time than the classic group (12 versus 29 weeks). The LATN group had a lower external fixation index (0.5 versus 1.9) and a lower bone healing index (0.8 versus 1.9) than the classic group. LATN confers advantages over the classic method including shorter times needed in external fixation, quicker bone healing, and protection against refracture. There are also advantages over the lengthening over a nail and internal lengthening nail techniques. LEVEL OF EVIDENCE: Level III, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence. |
| File Format | HTM / HTML |
| ISSN | 0009921X |
| e-ISSN | 15281132 |
| DOI | 10.1007/s11999-008-0509-8 |
| Journal | Clinical Orthopaedics and Related Researchtextregistered |
| Issue Number | 12 |
| Volume Number | 466 |
| Language | English |
| Publisher | Springer |
| Publisher Date | 2008-12-01 |
| Publisher Place | United States |
| Access Restriction | Open |
| Subject Keyword | Discipline Orthopaedics Bone Nails Femur Surgery Osteogenesis, Distraction Tibia Ankle Joint Physiopathology External Fixators Knee Joint Matched-pair Analysis Range Of Motion, Articular Comparative Study |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Surgery Sports Science |
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