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Systematic review of complications with externally controlled motorized intramedullary bone lengthening nails (FITBONE and PRECICE) in 983 segments.
- Source :
- Acta Orthopaedica; Feb2021, Vol. 92 Issue 1, p120-127, 8p, 1 Diagram, 5 Charts
- Publication Year :
- 2021
-
Abstract
- Background and purpose — In recent years motorized intramedullary lengthening nails have become increasingly popular. Complications are heterogeneously reported in small case series and therefore we made a systematic review of complications occurring in lower limb lengthening with externally controlled motorized intramedullary bone lengthening nails. Methods — We performed a systematic search in PubMed, EMBASE, and the Cochrane Library with medical subject headings: Bone Nails, Bone Lengthening, and PRECICE and FITBONE nails. Complications were graded on severity and origin. Results — The search identified 952 articles; 116 were full text screened, and 41 were included in the final analysis. 983 segments were lengthened in 782 patients (age 8–74 years). The distribution of nails was: 214 FITBONE, 747 PRECICE, 22 either FITBONE or PRECICE. Indications for lengthening were: 208 congenital shortening, 305 acquired limb shortening, 111 short stature, 158 with unidentified etiology. We identified 332 complications (34% of segments): Type I (minimal intervention) in 11% of segments; Type II (substantial change in treatment plan) in 15% of segments; Type IIIA (failure to achieve goal) in 5% of segments; and Type IIIB (new pathology or permanent sequelae) in 3% of segments. Device and bone complications were the most frequent. Interpretation — The overall risk of complications was 1 complication for every 3 segments lengthened. In 1 of every 4 segments, complications had a major impact leading to substantial change in treatment, failure to achieve lengthening goal, introduction of a new pathology, or permanent sequelae. However, as no standardized reporting method for complications exists, the true complication rates might be different. [ABSTRACT FROM AUTHOR]
- Subjects :
- SURGICAL complication risk factors
LEG surgery
BONE lengthening (Orthopedics)
ONLINE information services
MEDICAL equipment reliability
MEDICAL information storage & retrieval systems
INFORMATION storage & retrieval systems
MEDICAL databases
SYSTEMATIC reviews
BONE screws
TREATMENT effectiveness
MEDLINE
Subjects
Details
- Language :
- English
- ISSN :
- 17453674
- Volume :
- 92
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- Acta Orthopaedica
- Publication Type :
- Academic Journal
- Accession number :
- 148980651
- Full Text :
- https://doi.org/10.1080/17453674.2020.1835321