Tibial Lengthening Using a Reamed Type Intramedullary Nail and an Ilizarov External Fixator

Overview

Journal Int Orthop

Specialty Orthopedics

Date 2008 Apr 17

PMID 18415098

Citations 16

Authors

Hayoung Kim

Sang Ki Lee

Kap Jung Kim

Jae Hoon Ahn

Won Sik Choy

Yong In Kim

Jea Yun Koo

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to evaluate the efficacy of tibial lengthening using a reamed type intramedullary nail and an Ilizarov external fixator for the treatment of leg length discrepancy or short stature. This retrospective study was performed on 18 tibiae (13 patients) in which attempts were made to reduce complications. We used an Ilizarov external fixator and a nail (10 mm diameter in 17 tibiae and 11 mm in one tibia) in combination. Average limb lengthening was 4.19 cm (range, 2.5-5.5). The mean duration of external fixation was 12.58 days per centimetre gain in length, and the mean consolidation index was 40.53 (range, 35.45-51.85). All distracted segments healed spontaneously without refracture or malalignment. Gradual limb lengthening using a reamed type intramedullary nail and circular external fixation in combination was found to be reliable and effective and reduced external fixation time with fewer complications.

Citing Articles

A systematic review and meta-analysis:comparing the efficacy of the Ilizarov technique alone with lengthening over a nail for lower extremity bone defects.

Tan F, Yang C, Zeng J, Li J, Li P, Qiao Y BMC Musculoskelet Disord. 2024; 25(1):699.

PMID: 39223554 PMC: 11370124. DOI: 10.1186/s12891-024-07799-y.

Comparing the mechanical characteristics between leg lengthening using only an Ilizarov external fixator and leg lengthening over a nail using an external fixator manufactured in Vietnam.

Van Nguyen L Eur J Orthop Surg Traumatol. 2023; 34(2):839-846.

PMID: 37740769 DOI: 10.1007/s00590-023-03726-4.

Functional outcomes and complications of tibial lengthening using unilateral external fixation and then plating. A prospective case series.

Van Nguyen L, Le D Ann Med Surg (Lond). 2022; 74:103262.

PMID: 35127065 PMC: 8792419. DOI: 10.1016/j.amsu.2022.103262.

[Effectiveness of minimally invasive osteotomy Ilizarov technique combined with intramedullary nail for femoral lengthening].

Yang H, Zhang Y, Han Q, Peng A, Zheng X, Qin S Zhongguo Xiu Fu Chong Jian Wai Ke Za Zhi. 2018; 32(12):1524-1529.

PMID: 30569677 PMC: 8414221. DOI: 10.7507/1002-1892.201804118.

A new technique for correction of leg length discrepancies in combination with complex axis deformities of the lower limb using a lengthening nail and a locking plate.

Steiger C, Lenze U, Krieg A J Child Orthop. 2018; 12(5):515-525.

PMID: 30294378 PMC: 6169569. DOI: 10.1302/1863-2548.12.170190.

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