Abstract
Distraction osteogenesis represents an effective procedure for treatment of bone defects from various causes (e.g. trauma, malignancy, congenital and infection). In the past the available procedures were practically exclusively external. In the plate-assisted segmental bone transport (PABST) procedure a commercially available motorized intramedullary lengthening nail is used for segment transport. The transport segment is transported along a bone plate, which is responsible for maintaining the position of the proximal and distal main fragments. In staged sequences, a plate spanning the defect is placed. A lengthening nail is inserted in an antegrade or retrograde direction and a vascularized transport segment is created with an osteotomy. Bone transport is initiated at 1.0 mm a day. The transport segment is pulled or pushed into place, depending on the location of the bone void. In due time, a docking procedure is performed and full weight bearing is allowed. Supplementary lengthening can be initiated at docking or in a separate procedure. In smaller defects the gap is closed immediately over the plate and the bone is lengthened by the nail in the opposite end of the defect. The presented method is a valuable addition to the ar...Continue Reading
References
Jan 1, 2000·The Journal of Bone and Joint Surgery. British Volume·C KrettekT Miclau
Oct 21, 2000·The Journal of Bone and Joint Surgery. British Volume·S GopalR M Smith
May 3, 2003·The Journal of Bone and Joint Surgery. American Volume·Jean-Marc GuichetFlavio Bado
Dec 1, 2004·The Journal of Bone and Joint Surgery. British Volume·K L Barker, A H R W Simpson
Apr 7, 2007·Journal of Orthopaedic Trauma·Raghuram Thonse, Janet Conway
Sep 19, 2008·Clinical Orthopaedics and Related Research·S Robert RozbruchSvetlana Ilizarov
Nov 26, 2009·The Orthopedic Clinics of North America·Alain C Masquelet, Thierry Begue
Jun 10, 2010·Archives of Orthopaedic and Trauma Surgery·Emmanouil LiodakisStefan Hankemeier
Nov 16, 2011·Clinical Orthopaedics and Related Research·Ryhor HarbacheuskiS Robert Rozbruch
Jul 19, 2012·Journal of Surgical Oncology·Thomas H McCoyS Robert Rozbruch
Feb 1, 2014·Acta Orthopaedica·Søren Kold, Knud Stenild Christensen
Oct 2, 2014·Injury·Emmanuele SantoliniPeter V Giannoudis
Mar 10, 2015·International Orthopaedics·Ulrik Kähler OlesenHenrik Eckardt
May 27, 2015·Injury·Mark E HakeCyril Mauffrey
Nov 16, 2016·International Orthopaedics·Ulrik Kähler OlesenMartin McNally
May 10, 2017·Journal of Orthopaedic Trauma·Austin T Fragomen
Jun 24, 2017·European Journal of Orthopaedic Surgery & Traumatology : Orthopédie Traumatologie·Jan Lesensky, Daniel E Prince
Jul 25, 2017·Injury·Kevin TetsworthJohn E Herzenberg
Sep 25, 2017·Journal of Orthopaedic Trauma·Sarah N Pierrie, Joseph R Hsu
Sep 25, 2017·Journal of Orthopaedic Trauma·Christian Krettek, Ashraf El Naga
Aug 21, 2018·Bone & Joint Research·M MorgensternW J Metsemakers
Citations
Sep 26, 2020·Journal of Orthopaedic Surgery and Research·Gao-Hong RenBin Yu
Nov 16, 2018·Der Unfallchirurg·Christian Krettek
May 28, 2020·Archives of Orthopaedic and Trauma Surgery·F Schiedel
Aug 9, 2020·Der Unfallchirurg·Arnold J Suda
Jul 14, 2021·Der Unfallchirurg·Mohamed OmarTilman Graulich
Sep 18, 2021·Journal of Orthopaedic Trauma·Thomas Kern