Limits...
Limb lengthening over plate.

Kulkarni R, Singh N, Kulkarni GS, Kulkarni M, Kulkarni S, Kulkarni V - Indian J Orthop (2012)

Bottom Line: The preoperative target length was successfully achieved in all patients at a mean of 4.1 cm (range 1.8-6.5 cm).The mean duration of external fixation was 75.3 days (range 33-116 days) with the mean external fixation index at 19.2 days/cm (range 10.0-38.3 days/cm).Lengthening over plate is also applicable to children with open physis.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Fracture and Orthopaedic Hospital, Post Graduate Institute of Swasthiyog Pratisthan, Miraj, Maharashtra, India.

ABSTRACT

Background: The limb lengthening over plate eliminates the associated risk of infection with limb lengthening over intramedullary nail. We present our experience of limb lengthening in 15 patients with a plate fixed on the proximal segment, followed by corticotomy and application of external fixator.

Materials and methods: 15 patients (7 females, 8 males) were included in this consecutive series. The average age was 18.1 years (range 8-35 years). Fifteen tibiae and one femur were lengthened in 15 patients. Lengthening was achieved at 1 mm/day followed by distal segment fixation with three or four screws on reaching the target length.

Results: The preoperative target length was successfully achieved in all patients at a mean of 4.1 cm (range 1.8-6.5 cm). The mean duration of external fixation was 75.3 days (range 33-116 days) with the mean external fixation index at 19.2 days/cm (range 10.0-38.3 days/cm). One patient suffered deep infection up to the plate, three patients had mild procurvatum deformities, and one patient developed mild tendo achilles contracture.

Conclusion: Lengthening over a plate allows early removal of external fixator and eliminates the risk of creating deep intramedullary infection as with lengthening over nail. Lengthening over plate is also applicable to children with open physis.

No MeSH data available.


Related in: MedlinePlus

An 11 year old girl with 5.0 cm shortening underwent limb lengthening over plate. (a) Immediate postoperative radiograph showing proximal locking of the plate, corticotomy, and external fixator in place. (b) Radiograph prior to second surgery, showing 5.1 cm lengthening after 96 days in external fixator. At this stage, distal locking of the plate was done and external fixator was removed. (c) Radiograph after 150 days of first surgery, showing fully consolidated regenerate. Patient was walking unassisted and full weight bearing
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3377147&req=5

Figure 3: An 11 year old girl with 5.0 cm shortening underwent limb lengthening over plate. (a) Immediate postoperative radiograph showing proximal locking of the plate, corticotomy, and external fixator in place. (b) Radiograph prior to second surgery, showing 5.1 cm lengthening after 96 days in external fixator. At this stage, distal locking of the plate was done and external fixator was removed. (c) Radiograph after 150 days of first surgery, showing fully consolidated regenerate. Patient was walking unassisted and full weight bearing

Mentions: Our series demonstrates that the procedure is effective in lengthening (mean lengthening 4.1 cm), it drastically reduces the fixator time (mean ex-fix index – 19.2 days/cm), and maintains low complication rates (complication rate 0.5 per segment lengthened) [Figure 3a–c].


Limb lengthening over plate.

Kulkarni R, Singh N, Kulkarni GS, Kulkarni M, Kulkarni S, Kulkarni V - Indian J Orthop (2012)

An 11 year old girl with 5.0 cm shortening underwent limb lengthening over plate. (a) Immediate postoperative radiograph showing proximal locking of the plate, corticotomy, and external fixator in place. (b) Radiograph prior to second surgery, showing 5.1 cm lengthening after 96 days in external fixator. At this stage, distal locking of the plate was done and external fixator was removed. (c) Radiograph after 150 days of first surgery, showing fully consolidated regenerate. Patient was walking unassisted and full weight bearing
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3377147&req=5

Figure 3: An 11 year old girl with 5.0 cm shortening underwent limb lengthening over plate. (a) Immediate postoperative radiograph showing proximal locking of the plate, corticotomy, and external fixator in place. (b) Radiograph prior to second surgery, showing 5.1 cm lengthening after 96 days in external fixator. At this stage, distal locking of the plate was done and external fixator was removed. (c) Radiograph after 150 days of first surgery, showing fully consolidated regenerate. Patient was walking unassisted and full weight bearing
Mentions: Our series demonstrates that the procedure is effective in lengthening (mean lengthening 4.1 cm), it drastically reduces the fixator time (mean ex-fix index – 19.2 days/cm), and maintains low complication rates (complication rate 0.5 per segment lengthened) [Figure 3a–c].

Bottom Line: The preoperative target length was successfully achieved in all patients at a mean of 4.1 cm (range 1.8-6.5 cm).The mean duration of external fixation was 75.3 days (range 33-116 days) with the mean external fixation index at 19.2 days/cm (range 10.0-38.3 days/cm).Lengthening over plate is also applicable to children with open physis.

View Article: PubMed Central - PubMed

Affiliation: Department of Orthopaedics, Fracture and Orthopaedic Hospital, Post Graduate Institute of Swasthiyog Pratisthan, Miraj, Maharashtra, India.

ABSTRACT

Background: The limb lengthening over plate eliminates the associated risk of infection with limb lengthening over intramedullary nail. We present our experience of limb lengthening in 15 patients with a plate fixed on the proximal segment, followed by corticotomy and application of external fixator.

Materials and methods: 15 patients (7 females, 8 males) were included in this consecutive series. The average age was 18.1 years (range 8-35 years). Fifteen tibiae and one femur were lengthened in 15 patients. Lengthening was achieved at 1 mm/day followed by distal segment fixation with three or four screws on reaching the target length.

Results: The preoperative target length was successfully achieved in all patients at a mean of 4.1 cm (range 1.8-6.5 cm). The mean duration of external fixation was 75.3 days (range 33-116 days) with the mean external fixation index at 19.2 days/cm (range 10.0-38.3 days/cm). One patient suffered deep infection up to the plate, three patients had mild procurvatum deformities, and one patient developed mild tendo achilles contracture.

Conclusion: Lengthening over a plate allows early removal of external fixator and eliminates the risk of creating deep intramedullary infection as with lengthening over nail. Lengthening over plate is also applicable to children with open physis.

No MeSH data available.


Related in: MedlinePlus