Application of locked intramedullary nails in the treatment of complications after distraction osteogenesis

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12 Citations (Scopus)

Abstract

Distraction osteogenesis (callotasis) has been widely used in patients with limb-length inequality or massive bone defects. This procedure, however, may be associated with a high incidence of physical and psychosocial complications. Callotasis telescoping on a locked intramedullary nail has been used to shorten the period of external fixation. Little attention has been given to the use of locked intramedullary nails in the treatment of complications after callotasis. Between 1990 and 1999, we used locked intramedullary nailing in 27 patients for the treatment of complications after distraction osteogenesis. There were 17 men and ten women with a mean age of 33.2 years (16 to 66). The nail was inserted at a mean of 3.4 weeks (0 to 15) after removal of the external fixator. Simultaneous autogenous bone grafting and soft-tissue reconstruction were also undertaken in seven and two patients, respectively. There was consolidation of the callus or docking site in all patients at a mean of 6.4 months (2 to 14) after surgery. The mean shortening of the callus was 0.7 cm (0 to 2.5). Two patients had infection at the site of a distal screw which resolved after removal of the nail. In 17 Locked intramedullary nails are useful in treating complications after distraction osteogenesis in skeletally mature patients. The risk of infection should be borne in mind.

Original languageEnglish
Pages (from-to)1145-1149
Number of pages5
JournalJournal of Bone and Joint Surgery - Series B
Volume84
Issue number8
DOIs
Publication statusPublished - 2002 Jan 1

Fingerprint

Distraction Osteogenesis
Nails
Bony Callus
Therapeutics
Telescopes
Intramedullary Fracture Fixation
External Fixators
Bone Transplantation
Infection
Extremities
Bone and Bones
Incidence

All Science Journal Classification (ASJC) codes

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

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