Back to Search
Start Over
Lengthening Nails for Distraction Osteogenesis: A Review of Current Practice and Presentation of Extended Indications
- Source :
- Strategies in Trauma and Limb Reconstruction
- Publication Year :
- 2020
- Publisher :
- Jaypee Brothers Medical Publishing, 2020.
-
Abstract
- Purpose Circular frames have been the gold standard of treatment for complex deformity corrections and bone loss. However, despite the success of frames, patient satisfaction has been low, and complications are frequent. Most recently, lengthening nails have been used to correct leg length discrepancies. In this article, we review the current trends in deformity correction with emphasis on bone lengthening and present our case examples on the use of lengthening nails for management of complex malunions, non-unions, and a novel use in bone transport. Materials and methods A nonsystematic literature review on the topic was performed. Four case examples from our institute, Brighton and Sussex University Hospitals, East Sussex, England, UK, were included. Results New techniques based on intramedullary bone lengthening and deformity correction are replacing the conventional external frames. Introduction of lengthening and then nailing and lengthening over a nail techniques paved the way for popularization of the more recent lengthening nails. Lengthening nails have gone through evolution from the first mechanical nails to motorized nails and more recently the magnetic lengthening nails. Two case examples demonstrate successful use of lengthening nails for management of malunion, and two case examples describe novel use in management of non-unions, including the first report in the literature of plate-assisted bone segment transport for the longest defect successfully treated using this novel technique. Conclusion With the significant advancement of intramedullary lengthening devices with lower complications rates and higher patient satisfaction, the era of the circular frame may be over. How to cite this article Barakat AH, Sayani J, O'Dowd-Booth C, et al. Lengthening Nails for Distraction Osteogenesis: A Review of Current Practice and Presentation of Extended Indications. Strategies Trauma Limb Reconstr 2020;15(1):54–61.
- Subjects :
- Distraction osteogenesis
medicine.medical_specialty
medicine.medical_treatment
Review Article
Non-union
Bone Lengthening
law.invention
Intramedullary rod
law
Deformity
Medicine
Orthopedics and Sports Medicine
Malunion
Orthodontics
integumentary system
business.industry
Lengthening nails
medicine.disease
Surgery
Current practice
Nail (fastener)
medicine.symptom
Presentation (obstetrics)
business
Deformity correction
Subjects
Details
- ISSN :
- 18288928 and 18288936
- Volume :
- 15
- Database :
- OpenAIRE
- Journal :
- Strategies in Trauma and Limb Reconstruction
- Accession number :
- edsair.doi.dedup.....a02fa3d8fa76354f92554f1d5973ef82