Strategies in Trauma and Limb Reconstruction

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VOLUME 10 , ISSUE 3 ( November, 2015 ) > List of Articles

TECHNICAL REPORT

Bone elongation using monolateral external fixation: a practical guide

César Salcedo Cánovas

Keywords : Lengthening, Fixator, Monolateral, Callotasis, Elongation, Guide

Citation Information : Cánovas CS. Bone elongation using monolateral external fixation: a practical guide. 2015; 10 (3):175-188.

DOI: 10.1007/s11751-015-0236-0

License: CC BY-NC-SA 4.0

Published Online: 30-11-2015

Copyright Statement:  Copyright © 2015; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

In the literature, we can find many articles that describe in detail specific complex procedures related to the limb reconstruction. However, the general information on the biological and mechanical bases of callotasis is out of date, and the surgeons must relate to works dating from the early 1980s. These articles also come from a period in which the callotasis technique was being developed and, therefore, incur in discrepancies depending on the year they were written or the school of the author. This paper provides a general and summarised overview of the theoretical and practical aspects interesting to a surgeon that needs clear information on the bone elongations performed with the help of a monolateral external fixator.


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  1. De Bastiani G, Aldegheri R, Renzi-Brivio L, Trivella G (1987) Limb lengthening by callus distraction (callotasis). J Pediatr Orthop 7(2):129-134
  2. Aldegheri R, Renzi-Brivio L, Agostini S (1989) The callotasis method of limb lengthening. Clin Orthop 241:137-145
  3. Aldegheri R (1993) Callotasis. J Pediatr Orthop B 2(1):11-15
  4. Saleh M, Stubbs D, Street R, Lang D, Harris S (1993) Histologic analysis of human lengthened bone. J Pediatr Orthop 2(1):16-24
  5. Aldegheri R (1999) Distraction osteogenesis for lengthening of the tibia in patients who have limb-length discrepancy or short stature. J Bone Joint Surg Am 81:624-634
  6. Saleh M, Scott B (1992) Pitfalls and complications in leg lengthening: the Sheffield experience. Semin Orthop 7:207-222
  7. Burton M (1991) Regimes of leg lengthening at Sheffield Children's Hospital. Physiotherapy 77(11):727-732
  8. Kaufman KR, Miller LS, Sutherland DH (1996) Gait asymmetry in patients with limb-length inequality. J Pediatr Orthop 16(2):144-150
  9. Simard S, Marchant M, Mencio G (1992) The Ilizarov procedure: limb lengthening and its implications. Phys Ther 72:25-34
  10. Burton M (1991) Regimes of leg lengthening at Sheffield Children's Hospital. Physiotherapy 77(12):727-732
  11. Price C, Mann J (1991) Experience with the Orthofix device for limb lengthening. Orthop Clin North Am 22(4):651-661
  12. De Bastiani G, Aldegheri R, Renzi-Brivio L (1984) The treatment of fractures with a dynamic axial fixator. J Bone Joint Surg Br 266-B(4):538-545
  13. Lavini F, Renzi-Brivio L, Leso P (1994) Biomechanical factors in designing screws for the Orthofix system. Clin Orthop 308:63-67
  14. Giotakis N, Narayan B (2007) Stability with unilateral external fixation in the tibia. Strateg Trauma Limb Reconstr 2(1):13-20
  15. Magyar G, Toksvig-Larsen S, Moroni A (1997) Hydroxyapatite coating of threaded pins enhances fixation. J Bone Joint Surg Br 279-B:487-489
  16. Paley D, Herzenberg J, Paremain G, Bhave A (1997) Femoral lengthening over an intramedullary nail. A matched case comparison with Ilizarov femoral lengthening. J Bone Joint Surg Am 79:1464-1480
  17. Donnan L, Saleh M, Rigby A (2003) Acute correction of lower limb deformity and simultaneous lengthening with a monolateral fixator. J Bone Joint Surg Br 285-B:254-260
  18. Schiedel F, Pip S, Wacker S, Pöpping J, Tretow H, Leidinger B, Rödl R (2011) Intramedullary limb lengthening with the Intramedullary Skeletal Kinetic Distractor in the lower limb. J Bone Joint Surg Br 293-B:788-792
  19. Ullot R, Cepero S, Bellés S, Zanui J (2005) Alargamiento de extremidades en talla baja. Revisión de 34 casos. Revista de Fijación Externa 8(1):7-11
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