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VOLUME 8 , ISSUE 2 ( August, 2013 ) > List of Articles

Original Article

Comparison between lengthening over nail and conventional Ilizarov lengthening: a prospective randomized clinical study

Timour F. EL-Husseini, Nabil A. M. Ghaly, Mahmoud A. Mahran, Mohamed Ahmed Al Kersh, Khaled M. Emara

Keywords : Ilizarov, Bone lengthening, Intramedullary nail, Distraction osteogenesis

Citation Information : EL-Husseini TF, Ghaly NA, Mahran MA, Al Kersh MA, Emara KM. Comparison between lengthening over nail and conventional Ilizarov lengthening: a prospective randomized clinical study. 2013; 8 (2):97-101.

DOI: 10.1007/s11751-013-0163-x

License: CC BY-NC-SA 4.0

Published Online: 01-06-2017

Copyright Statement:  Copyright © 2013; The Author(s).


Abstract

The aim of this study is to compare lengthening over an intramedullary nail to the conventional Ilizarov method with regard to percentage length increase, external fixation index, consolidation index and incidence of complications. This is a prospective randomized controlled study. Thirty-one limbs in 28 patients were included in the study; 15 were lengthened over an intramedullary nail, and 16 limbs were lengthened conventionally. The mean duration of external fixation in the lengthening over nail group was 52.2 days compared to 180.4 days in the conventional group. There was higher incidence of complications in the conventional method group. In comparison with conventional Ilizarov lengthening, lengthening over an intramedullary nail offers a shorter period of external fixation and fewer complications overall, but there is a high incidence of deep intramedullary infection which is serious.


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  1. Codivilla A (1905) On the means of lengthening, in the lower limbs, the muscles and tissues which are shortened through deformity. Am J Orthop Surg 2:353-369
  2. Fischgrund J, Paley D, Suter C (1994) Variables affecting time to bone healing during limb lengthening. Clin Orthop 301:31-37
  3. Paley D (1990) Problems, obstacles, and complications of the limb lengthening by the Ilizarov technique. Clin Orthop 250: 81-104
  4. Paley D, Herzenberg JE, 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(10):1464-1480
  5. Gordon JE, Goldfarb CA, Luhmann SJ, Lyons D, Schoenecker PL (2002) Femoral lengthening over a humeral intramedullary nail in preadolescent children. J Bone Joint Surg Am 84(6): 930-937
  6. Kristiansen LP, Steen H (1999) Lengthening of the tibia over an intramedullary nail, using the Ilizarov external fixator. Major complications and slow consolidation in 9 lengthenings. Acta Orthop Scan 70(3):271-274
  7. Kocaoglu M, Eralp L, Kilicoglu O, Burc H, Cakmak M (2004) Complications encountered during lengthening over an intramedullary nail. J Bone Joint Surg Am 86:2406-2411
  8. Kim K, Lee SK, Kim KJ, Ahn J, Choy WS, Kim YI, Koo JY (2009) Tibial lengthening using a reamed type intramedullary nail and an Ilizarov external fixator. Int Orthop (SICOT) 33: 835-841
  9. Park H, Yang K, Lee K, Joo S, Kwak Y, Kim H (2008) Tibial lengthening over an intramedullary nail with use of the Ilizarov external fixator for idiopathic short stature. J Bone Joint Surg Am 90:1970-1978
  10. Guo Q, Zhang T, Zheng Q, Feng S & Xinlong Ma Aand Zhao F (2011) Tibial lengthening over an intramedullary nail in patients with short stature or leg-length discrepancy: a comparative study. Int Orthop (SICOT). doi:10.1007/s00264-011-1246-2
  11. Silberg ET, Goulet JA, Greenfield ML (1997) Femoral lengthening: conventional Ilizarov technique compared to lengthening over an intramedullary rod. Orthop Trans 21:71
  12. Song HR, Oh CW, Mattoo R, Park BC, Kim SJ, Park IH, Jeon IH, Ihn JC (2005) Femoral lengthening over an intramedullary nail using the external fixator: risk of infection and knee problems in 22 patients with a follow-up of 2 years or more. Acta Orthop 76(2):245-252
  13. Simpson AH, Cole AS, Kenwright J (1999) Leg lengthening over an intramedullary nail. J Bone Joint Surg Br 81:1041-1045
  14. Watanabe K, Tsuchiya H, Sakurakichi K, Yamamoto N, Kabata T, Tomita K (2005) Tibial lengthening over an intramedullary nail. J Orthop Sci 10:480-485
  15. Sun XT, Easwar TR, Manesh S, Ryu JH, Song SH, Kim SJ, Song HR (2012) Complications and outcome of tibial lengthening using the Ilizarov method with or without a supplementary IM nail. J Bone Joint Surg Br 93b:782-787
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