Femoral lengthening over an intramedullary nail using the external fixator: Risk of infection and knee problems in 22 patients with a follow-up of 2 years or more

Hae Ryong Song, Chang W. Oh, Rakesh Mattoo, Byung Chul Park, Sung Jung Kim, Il Hyung Park, In H. Jeon, Joo Chul Ihn

Research output: Contribution to journalArticle

60 Citations (Scopus)

Abstract

Background: The time for femoral lengthening is shortened if external fixation is combined with intramedullary nailing. However, several complications have been reported with this procedure. Patients and methods: We retrospectively reviewed the outcome of femoral lengthening performed over an intramedullary nail using external fixation in 22 patients. These patients were followed for a mean of 3.2 (2-5.2) years. The mean age was 22 (13-35) years at the time of the index procedure. The mean lengthening was 5 (2.7-8.1) cm and the external fixator was removed after median 20 (8-30) weeks. The mean external fixation index was 24 (11-35) days/cm and the mean consolidation index was 43 (26-55) days/cm of lengthening. Results: 3 patients who had a past history of infection or open trauma developed osteomyelitis which required removal of the nail. There were 4 knee joint complications when the lengthening was over 20%, including posterior knee subluxation and patella subluxation. In 1 patient, the lengthened segment collapsed with breakage of locking screws. Interpretation: Although lengthening over a nail can reduce the duration of external fixation, caution is required to prevent major complications.

Original languageEnglish
Pages (from-to)245-252
Number of pages8
JournalActa Orthopaedica
Volume76
Issue number2
DOIs
Publication statusPublished - 2005 Apr 1

Fingerprint

External Fixators
Nails
Thigh
Knee
Infection
Intramedullary Fracture Fixation
Patella
Osteomyelitis
Knee Joint
Wounds and Injuries

ASJC Scopus subject areas

  • Orthopedics and Sports Medicine
  • Surgery

Cite this

Femoral lengthening over an intramedullary nail using the external fixator : Risk of infection and knee problems in 22 patients with a follow-up of 2 years or more. / Song, Hae Ryong; Oh, Chang W.; Mattoo, Rakesh; Park, Byung Chul; Kim, Sung Jung; Park, Il Hyung; Jeon, In H.; Ihn, Joo Chul.

In: Acta Orthopaedica, Vol. 76, No. 2, 01.04.2005, p. 245-252.

Research output: Contribution to journalArticle

Song, Hae Ryong ; Oh, Chang W. ; Mattoo, Rakesh ; Park, Byung Chul ; Kim, Sung Jung ; Park, Il Hyung ; Jeon, In H. ; Ihn, Joo Chul. / Femoral lengthening over an intramedullary nail using the external fixator : Risk of infection and knee problems in 22 patients with a follow-up of 2 years or more. In: Acta Orthopaedica. 2005 ; Vol. 76, No. 2. pp. 245-252.
@article{c287d23058de4001b44464918d584f4d,
title = "Femoral lengthening over an intramedullary nail using the external fixator: Risk of infection and knee problems in 22 patients with a follow-up of 2 years or more",
abstract = "Background: The time for femoral lengthening is shortened if external fixation is combined with intramedullary nailing. However, several complications have been reported with this procedure. Patients and methods: We retrospectively reviewed the outcome of femoral lengthening performed over an intramedullary nail using external fixation in 22 patients. These patients were followed for a mean of 3.2 (2-5.2) years. The mean age was 22 (13-35) years at the time of the index procedure. The mean lengthening was 5 (2.7-8.1) cm and the external fixator was removed after median 20 (8-30) weeks. The mean external fixation index was 24 (11-35) days/cm and the mean consolidation index was 43 (26-55) days/cm of lengthening. Results: 3 patients who had a past history of infection or open trauma developed osteomyelitis which required removal of the nail. There were 4 knee joint complications when the lengthening was over 20{\%}, including posterior knee subluxation and patella subluxation. In 1 patient, the lengthened segment collapsed with breakage of locking screws. Interpretation: Although lengthening over a nail can reduce the duration of external fixation, caution is required to prevent major complications.",
author = "Song, {Hae Ryong} and Oh, {Chang W.} and Rakesh Mattoo and Park, {Byung Chul} and Kim, {Sung Jung} and Park, {Il Hyung} and Jeon, {In H.} and Ihn, {Joo Chul}",
year = "2005",
month = "4",
day = "1",
doi = "10.1080/00016470510030652",
language = "English",
volume = "76",
pages = "245--252",
journal = "Acta Orthopaedica",
issn = "1745-3674",
publisher = "Informa Healthcare",
number = "2",

}

TY - JOUR

T1 - Femoral lengthening over an intramedullary nail using the external fixator

T2 - Risk of infection and knee problems in 22 patients with a follow-up of 2 years or more

AU - Song, Hae Ryong

AU - Oh, Chang W.

AU - Mattoo, Rakesh

AU - Park, Byung Chul

AU - Kim, Sung Jung

AU - Park, Il Hyung

AU - Jeon, In H.

AU - Ihn, Joo Chul

PY - 2005/4/1

Y1 - 2005/4/1

N2 - Background: The time for femoral lengthening is shortened if external fixation is combined with intramedullary nailing. However, several complications have been reported with this procedure. Patients and methods: We retrospectively reviewed the outcome of femoral lengthening performed over an intramedullary nail using external fixation in 22 patients. These patients were followed for a mean of 3.2 (2-5.2) years. The mean age was 22 (13-35) years at the time of the index procedure. The mean lengthening was 5 (2.7-8.1) cm and the external fixator was removed after median 20 (8-30) weeks. The mean external fixation index was 24 (11-35) days/cm and the mean consolidation index was 43 (26-55) days/cm of lengthening. Results: 3 patients who had a past history of infection or open trauma developed osteomyelitis which required removal of the nail. There were 4 knee joint complications when the lengthening was over 20%, including posterior knee subluxation and patella subluxation. In 1 patient, the lengthened segment collapsed with breakage of locking screws. Interpretation: Although lengthening over a nail can reduce the duration of external fixation, caution is required to prevent major complications.

AB - Background: The time for femoral lengthening is shortened if external fixation is combined with intramedullary nailing. However, several complications have been reported with this procedure. Patients and methods: We retrospectively reviewed the outcome of femoral lengthening performed over an intramedullary nail using external fixation in 22 patients. These patients were followed for a mean of 3.2 (2-5.2) years. The mean age was 22 (13-35) years at the time of the index procedure. The mean lengthening was 5 (2.7-8.1) cm and the external fixator was removed after median 20 (8-30) weeks. The mean external fixation index was 24 (11-35) days/cm and the mean consolidation index was 43 (26-55) days/cm of lengthening. Results: 3 patients who had a past history of infection or open trauma developed osteomyelitis which required removal of the nail. There were 4 knee joint complications when the lengthening was over 20%, including posterior knee subluxation and patella subluxation. In 1 patient, the lengthened segment collapsed with breakage of locking screws. Interpretation: Although lengthening over a nail can reduce the duration of external fixation, caution is required to prevent major complications.

UR - http://www.scopus.com/inward/record.url?scp=20044366977&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=20044366977&partnerID=8YFLogxK

U2 - 10.1080/00016470510030652

DO - 10.1080/00016470510030652

M3 - Article

C2 - 16097552

AN - SCOPUS:20044366977

VL - 76

SP - 245

EP - 252

JO - Acta Orthopaedica

JF - Acta Orthopaedica

SN - 1745-3674

IS - 2

ER -