Femoral Lengthening in Children—A Comparison Between Magnetic Intramedullary Lengthening Nails and External Fixators

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Mohamed Hafez ◽  
Nicolas Nicolaou ◽  
Amaka Offiah ◽  
Stephen N. Giles ◽  
Sanjeev S. Madan ◽  
...  
Keyword(s):  
External Fixators ◽  
Femoral Lengthening

scholarly journals Staged reconstruction of unilateral neglected hip dislocation through total hip arthroplasty and subsequent intramedullary femoral lengthening

2021 ◽  
Author(s):  
Bjoern Vogt ◽  
Christoph Theil ◽  
Georg Gosheger ◽  
Adrien Frommer ◽  
Burkhard Moellenbeck ◽  
...  
Keyword(s):  
Total Hip Arthroplasty ◽  
Hip Arthroplasty ◽  
Plate Fixation ◽  
Hip Dislocation ◽  
Leg Length ◽  
Total Hip ◽  
Femoral Lengthening ◽  
Shortening Osteotomy ◽  
Successful Approach ◽  
Staged Reconstruction

Abstract Background and purpose Total hip arthroplasty (THA) is a successful approach to treat unilateral symptomatic neglected hip dislocation (NHD). However, the extensive leg length discrepancy (LLD) can hereby only be partially corrected. In case of residual LLD of more than 2 cm, subsequent femoral lengthening can be considered. Patients/material/methods Retrospective analysis of clinical data and radiographs of five patients (age 38.1 (28–51) years) with unilateral NHD who underwent THA with (n  = 3) or without (n = 2) subtrochanteric shortening osteotomy (SSO) and secondary intramedullary femoral lengthening through a retrograde magnetically-driven lengthening nail (follow-up 18.4 (15–27) months). Results LLD was 51.0 (45–60) mm before and 37.0 (30–45) mm after THA. Delayed bone union at one SSO site healed after revision with autologous bone grafting and plate fixation. Subsequent lengthening led to leg length equalisation in all patients. Complete consolidation was documented in all lengthened segments. Conclusion Staged reconstruction via THA and secondary femoral lengthening can successfully be used to reconstruct the hip joint and equalise LLD. The specific anatomical conditions have to be taken into consideration when planning treatment, and patients ought to be closely monitored.

Preventing Air Leakage in Negative Atmospheric Pressure Therapy for Open Fractures Treated With External Fixators

2013 ◽  
Vol 38 (12) ◽  
pp. 2520 ◽  
Author(s):  
İlhami Oğuzhan Aydoğdu ◽  
Engin Yosma ◽  
Tekin Şímşek ◽  
Musa Kemal Keleş
Keyword(s):  
Atmospheric Pressure ◽  
Open Fractures ◽  
External Fixators ◽  
Air Leakage ◽  
Pressure Therapy

Safety and Complications Associated With MRI-Conditional External Fixators in Patients With Tibial Plateau Fractures

2018 ◽  
Vol 32 (10) ◽  
pp. 521-525 ◽  
Author(s):  
Jonathan D. Gillig ◽  
Russell D. Goode ◽  
Brian Campfield ◽  
Julia R. Crim ◽  
Brett D. Crist
Keyword(s):  
Tibial Plateau ◽  
Tibial Plateau Fractures ◽  
External Fixators ◽  
Mri Conditional

Analysis of usage and associated cost of external fixators at an urban level 1 trauma centre

Injury ◽  
2014 ◽  
Vol 45 (10) ◽  
pp. 1611-1613 ◽  
Author(s):  
George W. Chaus ◽  
Chase Dukes ◽  
David J. Hak ◽  
Cyril Mauffrey ◽  
E. Mark Hammerberg
Keyword(s):  
Trauma Centre ◽  
External Fixators ◽  
Urban Level ◽  
Level 1

scholarly journals External fixation to correct tarsal-metatarsal fracture in rock pigeon (Columba livia)

Revista CERES ◽  
2017 ◽  
Vol 64 (1) ◽  
pp. 25-30
Author(s):  
Leandro Almeida Rui ◽  
Diego Carvalho Viana ◽  
Adriano Barile Dora ◽  
Paula Fratini
Keyword(s):  
Gold Standard ◽  
Minimal Invasive Surgery ◽  
Surgical Repair ◽  
Bone Fractures ◽  
Columba Livia ◽  
Minimal Invasive ◽  
External Fixators ◽  
Post Surgery ◽  
Metatarsal Fracture ◽  
Rock Pigeon

ABSTRACT Orthopedic conditions, such as bone fractures, are very common in avian medicine. External fixators have been considered the gold standard for birds, since they allow early movement of the limbs and minimal invasive surgery. Fractures in several bones have been successfully treated in pigeons. However, to the best of our knowledge, this case represents the first report of successful surgical repair of tarsal-metatarsal fracture in rock pigeon. External fixator was made with four 24G catheters, being inserted manually proximal and distal to the fracture and connected with polymerizable acrylic. Radiographic consolidation of fracture was observed 60 days post-surgery and anti-inflammatory and antibiotic protocols were successful on avoiding pain and infection during surgery and bone healing.

scholarly journals Sustained hip flexion contracture after femoral lengthening in patients with achondroplasia

2018 ◽  
Vol 19 (1) ◽  
Author(s):  
Mi Hyun Song ◽  
Tae-Jin Lee ◽  
Jong Hyeop Song ◽  
Hae-Ryong Song
Keyword(s):  
Flexion Contracture ◽  
Femoral Lengthening ◽  
Hip Flexion

scholarly journals Physiotherapy Rehabilitation in Post Operative Tibia- Fibula Fracture with External Fixators

2021 ◽  
pp. 283-288
Author(s):  
Gunjan Ambalkar ◽  
Deepak Jain ◽  
Pratik Phansopkar
Keyword(s):  
Lower Extremity ◽  
Range Of Motion ◽  
Road Traffic ◽  
Severe Trauma ◽  
Long Bone ◽  
External Fixators ◽  
Tibial Shaft ◽  
Fibula Fracture ◽  
Shaft Fractures ◽  
Tibial Shaft Fractures

Introduction: A tibia - fibula fracture occurs when a fall or trauma to the lower extremities puts more tension on the bones than they can tolerate. Diaphyseal tibial fractures are the most common long bone fracture. Lower extremity Tibia and fibula fractures are examples of fractures. Tibial shaft fractures are most typically associated with a history of severe trauma. The tibia is the most commonly fractured bone in the lower extremity. The bone's shaft is in the middle Fibula fractures are usually, but not always, accompanied by tibial shaft fractures. Case Presentation: At the previous 15 days, a 49-year-old male patient accounted in a hospital with a road traffic accident. Discussion: The physiotherapy was given to this patient for muscle energy technique resulting in a high degree of range of motion in the lower extremity, reduce pain, and improves flexibility and strength. Conclusion: Physiotherapy has a significant effect on pain, strength, and range of motion. The result of this case report specifies that it may be effective for pain relief, improvement in strength, and functional ability.

scholarly journals A COMPARATIVE STUDY OF IN VIVO EFFECT OF PERCUTANEOUS BONE MARROW INJECTION VS WITHOUT INJECTION ON UNION OF OPEN TIBIAL SHAFT FRACTURES WITH EXTERNAL FIXATOR

2020 ◽  
pp. 1-2
Author(s):  
Hrishikesh Desai ◽  
Kirtiraj G ◽  
Abhay P
Keyword(s):  
Bone Marrow ◽  
External Fixator ◽  
Autologous Bone Marrow ◽  
Tibial Fractures ◽  
External Fixators ◽  
Open Tibial Fractures ◽  
Autologous Bone ◽  
Group 2 ◽  
Radiological Union

Background : Open tibial fractures are notorious fractures because the open wound leaves us with limited options and means multiple operations with long intervals for the patient. The usual method of treatment of contaminated, late presenting and complicated fractures is a temporary external fixator followed by conversion into a costly definitive procedure once the wound has healed. The secondary definitive procedure also means extra cost in an already economically stressed patient.In our set up we have to often let patients leave with a plaster cast after removing the external fixator for economic constrains. Per cetaceous autologous bone marrow injection while the patient is on external fixator is one alternative that we have tried to deal with this problem hoping for a primary union without any costly intervention. Materials and methods : We had 42 cases of open tibial fractures which were treated with external fixator and per cutaneous bone marrow injection while 38 other cases which were used as control with only the external fixator and no injections. We included open fractures of only Gustilo Anderson type II,IIIA and B for our study. Study was conducted between period of June 2012 and December 2013 at SBKS medical college . Results : In group one, 34 of the 42 patients had a radiological union before 12 weeks while another 2 in 16 weeks. For group 2 , only 16 of the 38patients had radiological union at 12 weeks and no more at 16 weeks. The average time of union for group 1 was 10 weeks while of group 2 was 12 weeks .Function of the union cases of both the groups was similar in all aspects including distance of walking and ability to carry out daily activities. Conclusion : Per cutaneous autologous bone marrow injections are cheap , easily available and successful alternative to a secondary procedure for open tibial fractures on external fixators.

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