PMID: 8998886Apr 1, 1996Paper

Bone transport using intramedullary fixation and a single flexible traction cable

Clinical Orthopaedics and Related Research
A HyodoG Muschler

Abstract

The transfixing wires used in the limb-lengthening and bone-transport procedures described by Ilizarov are the primary source of complications, including infection, restricted joint motion, and pain. In an attempt to eliminate the need for external fixation, a traction cable device was devised to perform a 3-cm bone transport in the canine femur using an interlocking intramedullary rod for fixation. Twelve dogs were divided into 2 groups. Transport began 7 days after osteotomy and continued at either 1 mm per day (n = 6) or 2 mm per day (n = 6). The in vivo peak force, resting force, and stiffness of the transport segment increased throughout distraction to a mean of 150 Newtons, 58 N, and 58 N per millimeter, respectively, at the time of docking. The regenerate and docking sites united in 10 of 12 dogs. Failure of the regenerate associated with deep infection around the rod occurred in 2 animals (17%). Modifications of this technique to reduce the risk of infection are discussed. This study confirms that intramedullary fixation is compatible with distraction osteogenesis and shows that a single traction cable can provide the force necessary for bone transport without transfixing wires in this setting.

References

Jul 28, 1975·Archiv Für Orthopädische Und Unfall-Chirurgie·J Götz, W D Schellmann
May 1, 1990·Journal of Medical Engineering & Technology·J L CunninghamC J Kershaw
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Citations

Jul 9, 1999·Journal of Biomechanical Engineering·M RichardsJ A Goulet
Oct 29, 2000·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·R H MeffertE Y Chao
May 26, 2016·Strategies in Trauma and Limb Reconstruction·Konstantin HorasUwe Horas
May 10, 2000·Journal of Bone and Mineral Research : the Official Journal of the American Society for Bone and Mineral Research·M RichardsS A Goldstein
Nov 5, 2011·American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics·Adam C SpencerPeter H Buschang

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