ArticleAdvances in orthopedics2015
The Accordion Maneuver: A Noninvasive Strategy for Absent or Delayed Callus Formation in Cases of Limb Lengthening.
Article in Advances in orthopedics, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 1 of them a synthesis that pooled it.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
23 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Ilizarov method combined with accordion technique for treating long bone defects in the lower limbs: a systematic review.Journal of orthopaedic surgery and research · 2024Pooled it
- Accordion Maneuver for Delayed Regenerate Formation Following Pediatric Osteosarcoma Resection: A Case Report and Literature Review.Reports (MDPI) · 2026Article
- Cyclic distraction-compression promotes bone regeneration during distraction osteogenesis through the Piezo1-YAP-β-catenin axis.Frontiers in bioengineering and biotechnology · 2026Article
- The accordion technique did not improve bone healing in a mouse model of distraction osteogenesis.Scientific reports · 2024Article
- Evaluating Docking Site Local Hematoma Formation and Blood Flow on its Healing Using the Accordion Technique at the End of Tibial Bone Transport.Orthopaedic surgery · 2024Article
- Importance of bone health in bone lengthening.Journal of the Pediatric Orthopaedic Society of North America · 2024Article
- Current Perspectives on the Management of Bone Fragments in Open Tibial Fractures: New Developments and Future Directions.Orthopedic research and reviews · 2022Review
- Clinical outcomes of bone transport using rail fixator in the treatment of femoral nonunion or bone defect caused by infection.Frontiers in surgery · 2022Article
- Overview of Physical and Pharmacological Therapy in Enhancing Bone Regeneration Formation During Distraction Osteogenesis.Frontiers in cell and developmental biology · 2022Review
- Comparison of accordion maneuver with compression technique alone for the treatment of atrophic fracture nonunion: A rabbit model.Acta orthopaedica et traumatologica turcica · 2021Article
- [Research progress of intramedullary lengthening nail technology].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2021Review
- Free flap transplantation combined with Ilizarov bone transport for the treatment of severe composite tibial and soft tissue defects.The Journal of international medical research · 2021Article
- Cyclic Distraction-Compression Dynamization Technique Enhances the Bone Formation During Distraction Osteogenesis.Frontiers in bioengineering and biotechnology · 2021Article
- Treatment options for infected bone defects in the lower extremities: free vascularized fibular graft or Ilizarov bone transport?Journal of orthopaedic surgery and research · 2020Article
- Limb lengthening history, evolution, complications and current concepts.Journal of orthopaedics and traumatology : official journal of the Italian Society of Orthopaedics and Traumatology · 2020Review
- Managing bone loss in open fractures.OTA international : the open access journal of orthopaedic trauma · 2020Article
- Bone Transport for Treatment of Traumatic Composite Tibial Bone and Soft Tissue Defects: Any Specific Needs besides the Ilizarov Technique?BioMed research international · 2020Article
- Novel Surgical Approach to Segmental Bone Transport Using a Magnetic Intramedullary Limb Lengthening System.The Journal of the American Academy of Orthopaedic Surgeons · 2018Article
- [Effect of "accordion" technique on bone consolidation during distraction osteogenesis].Zhongguo xiu fu chong jian wai ke za zhi = Zhongguo xiufu chongjian waike zazhi = Chinese journal of reparative and reconstructive surgery · 2018Article
- Femoral nonunion with segmental bone defect treated by distraction osteogenesis with monolateral external fixation.Journal of orthopaedic surgery and research · 2017Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The distraction osteogenesis (DO) technique has been used worldwide to treat many orthopaedic conditions. Although successful, absent or delayed callus formation in the distraction gap can lead to significant morbidities. An alternate cycle of distraction-compression (accordion maneuver) is one approach to accelerate bone regeneration. The primary aim of our study is to report our experience with the accordion maneuver during DO and to provide a detailed description of this technique, as performed in our center. The secondary aim is to present a review of the literature regarding the use of accordion maneuver. We reviewed the database of all patients undergoing limb lengthening from the year of 1997 to 2012. Four patients (6.15%) out of 65 showed poor bone regenerate in their tibiae and therefore accordion maneuver was applied for a mean of 6.75 weeks. Of these, three patients have had successful outcome with this technique. The literature showed that this technique is successful approach to trigger bone healing. However, details of how and when to apply this combination of distraction-compression forces were lacking. In conclusion, the accordion technique is safe noninvasive approach to promote bone formation, thus avoiding more invasive surgical procedures in cases of poor callus formation in limb lengthening.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.