Elastic intramedullary nailing as a complement to Ilizarov's method for forearm lengthening: a comparative pediatric prospective study

Orthopaedics & Traumatology, Surgery & Research : OTSR
T JagerP Journeau

Abstract

Most of the techniques for forearm lengthening involve external fixation to achieve stability and provide progressive distraction. We introduce the use of elastic stable intramedullar nailing (ESIN) in combination with external circular assembly for the procedure. The purpose of this prospective study was to compare Ilizarov's classical technique with this combined technique. Fifty-seven patients, with forearm length discrepancies or deformities either congenital or acquired, were prospectively followed-up. Patients were divided in two groups: 35 had only external fixation, and 22 had external fixation-ESIN combined techniques. Patients were assessed for clinical and radiographic outcome with a mean follow-up of 21 months after external device removal. Overall lengthening was 45.0mm. Healing index (HI) was 22.2d/cm with the combined technique, and 32.0 d/cm with external fixation. HI was 30% better when ESIN was used, for congenital and for overall cases. Combined technique has a lower complication rate. Although forearm lengthening still remains a time-consuming procedure, ESIN can shorten external fixator wearing time. No additional complication occurred and bony complications seem to be limited by the nails. We recommend thi...Continue Reading

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Citations

Jan 16, 2016·International Orthopaedics·Dmitry Popkov, Arnold Popkov
Sep 9, 2016·The Journal of Bone and Joint Surgery. American Volume·Sebastian FarrWerner Girsch
Apr 19, 2017·Materials Science & Engineering. C, Materials for Biological Applications·E N BolbasovY G Anissimov
Aug 24, 2013·The Journal of Bone and Joint Surgery. American Volume·Sanjeev SabharwalChristopher Iobst
Aug 19, 2017·Expert Review of Medical Devices·Arnold PopkovDmitry Popkov
Apr 17, 2019·Injury·Arnold PopkovDmitry Popkov

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