Lengthening of the femur over an existing intramedullary nail.

Abstract:

:Leg length discrepancies can occur despite successful union of femur fractures after intramedullary nailing (IMN). Often, the leg length discrepancy can result in significant disability to the patient, altered gait biomechanics, pelvic obliquity, and pain. Therefore, a successful clinical result for such deformities after IMN involves addressing the leg length inequality. Femoral reconstruction with an osteotomy around an existing intramedullary nail was introduced to address axial deformity correction and limb lengthening without changing or removing a previously inserted IMN. This technique uses the principles of lengthening over an IMN. The presence of the nail has minimized the time needed for the external fixator because the nail supports the regenerate bone or osteotomy during the consolidation phase. With this technique, surgery is minimized by avoiding the need for exchange nailing.

journal_name

J Orthop Trauma

authors

Kim HJ,Fragomen AT,Reinhardt K,Hutson JJ Jr,Rozbruch SR

doi

10.1097/BOT.0b013e3181f92d6e

subject

Has Abstract

pub_date

2011-11-01 00:00:00

pages

681-4

issue

11

eissn

0890-5339

issn

1531-2291

journal_volume

25

pub_type

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