Forskning
Udskriv Udskriv
Switch language
Region Hovedstaden - en del af Københavns Universitetshospital
Udgivet

Plate-assisted Bone Segment Transport With Motorized Lengthening Nails and Locking Plates: A Technique to Treat Femoral and Tibial Bone Defects

Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  1. Bilateral caput femoris-epifysiolyse efter epileptisk anfald

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  2. Behandlingsprincipper ved rekonstruktioner, forlængelser og opretninger i underekstremiteterne

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

  3. Delayed Effect of Blood Flow-restricted Resistance Training on Rapid Force Capacity

    Publikation: Bidrag til tidsskriftTidsskriftartikelForskningpeer review

Vis graf over relationer

This article describes a new bone transport technique for femoral and tibial bone defects using lengthening nails combined with locking plates. We term it plate-assisted bone segment transport (PABST).

Methods: Nine patients with five femoral and four tibial bone defects from open fractures or malignancies were treated between 2016 and 2018. Mean femoral defect length was 9.3 cm (range 7 to 11.5). Mean tibial defect was 8.9 cm (range 4.8 to 15). The patients were evaluated for time to weight bearing, consolidation index, mechanical axis deviation, and limb length discrepancy.

Results: Seven of nine patients have fully consolidated. The mean consolidation time was 6.6 months. The consolidation index was 0.9 (femur) and 1.26 (tibia) mo/cm. Two patients required supplementary lengthening. One patient had mild varus, one mild valgus; the remainder had a normal mechanical axis. Limb length discrepancy remained acceptable in all patients. The main complications were heterotopic ossification, delayed healing, and reduced knee motion.

Conclusion: Bone transport with lengthening nails and locking plates is an effective and patient-friendly way of treating bone defects, eliminating the adverse effects of external fixation and reducing treatment time. The plate provides stability during transport and docking; it can address concomitant fractures and facilitates acute shortenings.

OriginalsprogEngelsk
TidsskriftJournal of the American Academy of Orthopaedic Surgeons. Global research & reviews
Vol/bind3
Udgave nummer8
Sider (fra-til)e064
ISSN2474-7661
DOI
StatusUdgivet - aug. 2019

Bibliografisk note

Copyright © 2019 The Authors. Published by Wolters Kluwer Health, Inc. on behalf of the American Academy of Orthopaedic Surgeons.

ID: 59373529