| Femoral lengthening over a humeral intramedullary nail in preadolescent children. | |
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MedLine Citation:
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PMID: 12063326 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Femoral lengthening over an intramedullary nail has been described in adults. A technique of femoral lengthening over a humeral intramedullary nail in children is described, and the results and complications are presented. METHODS: Nine preadolescent patients (average age, nine years and ten months) with femoral length discrepancy were treated with femoral lengthening over a humeral intramedullary nail. After nail insertion, a monolateral external fixator was placed with half-pins either anterior or posterior to the intramedullary nail, and lengthening was performed through a proximal osteotomy. RESULTS: The femora were lengthened a mean of 6.1 cm (range, 5.0 to 8.0 cm), 19.5% (range, 15.9% to 26.2%) of the preoperative femoral length. Patients had a mean lengthening index of 12.2 days/cm of length (range, 9.5 to 16.9 days/cm of length). Five complications including osteomyelitis, failure of the distal interlocking site, and femoral fracture at the distal end of the nail occurred in four patients; four of the complications led to surgical intervention. No case of proximal femoral valgus secondary to nailing through the greater trochanter had developed by the time of final follow-up. All patients were followed for a minimum of two years postoperatively, with a mean of 128 weeks (range, 111 to 161 weeks). CONCLUSIONS: The technique is effective but has a high rate of complications, including osteomyelitis, which developed in two of the nine patients. No avascular necrosis or proximal femoral valgus was noted. |
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Authors:
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J Eric Gordon; Charles A Goldfarb; Scott J Luhmann; Deborah Lyons; Perry L Schoenecker |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: The Journal of bone and joint surgery. American volume Volume: 84-A ISSN: 0021-9355 ISO Abbreviation: J Bone Joint Surg Am Publication Date: 2002 Jun |
Date Detail:
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Created Date: 2002-06-13 Completed Date: 2002-07-03 Revised Date: 2010-10-25 |
Medline Journal Info:
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Nlm Unique ID: 0014030 Medline TA: J Bone Joint Surg Am Country: United States |
Other Details:
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Languages: eng Pagination: 930-7 Citation Subset: AIM; IM |
Affiliation:
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Washingtron University School of Medicine, St. Louis, Missouri, USA. gordone@msnotes.wustl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bone Lengthening
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instrumentation*,
methods Bone Nails* Child Child, Preschool External Fixators Female Femur / radiography, surgery* Follow-Up Studies Humans Humerus Leg Length Inequality / congenital, radiography, surgery* Male Retrospective Studies Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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