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

被引:25
作者
EL-Husseini, Timour F. [1 ]
Ghaly, Nabil A. M. [1 ]
Mahran, Mahmoud A. [1 ]
Al Kersh, Mohamed Ahmed [1 ]
Emara, Khaled M. [1 ]
机构
[1] Ain Shams Univ Hosp, 28 Tawfik City, Cairo, Egypt
来源
STRATEGIES IN TRAUMA AND LIMB RECONSTRUCTION | 2013年 / 8卷 / 02期
关键词
Ilizarov; Bone lengthening; Intramedullary nail; Distraction osteogenesis;
D O I
10.1007/s11751-013-0163-x
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
摘要
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.
引用
收藏
页码:97 / 101
页数:5
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