Evidence map›Paper›PMID 33451359›Full record

ArticleJournal of orthopaedic surgery and research2021

Combined antegrade femur lengthening and distal deformity correction: a case series.

Achraf Jardaly, Shawn R Gilbert

Abstract read
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Article in Journal of orthopaedic surgery and research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

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6citing papers in PubMed, 1 pooled it
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

6 citing papers in PubMed, 1 synthesis or guideline pooled it.

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4 · The record

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5 · Who and what money

Authors and funding

2 authors.

Achraf JardalyGilbert and Rose-Marie Chagoury School of Medicine, Lebanese American University, Byblos, Lebanon.
Shawn R GilbertDepartment of Orthopedic Surgery, University of Alabama at Birmingham, Birmingham, AL, USA. srgilbert@uabmc.edu.ORCID http://orcid.org/0000-0002-0683-3172

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundLeg length discrepancy is often associated with distal femur angular deformities such as valgus or flexion. This study aims to report a new technique for simultaneous limb lengthening and acute distal femoral angular correction.

methodsA retrospective chart review of patients undergoing a single procedure was conducted. Patients included had a single operation where they underwent distal femur osteotomy stabilized with a plate followed by antegrade nailing with a magnetically controlled intramedullary lengthening nail (PRECICE, Ellipse Technologies, Inc., Irvine, CA, USA) using a trochanteric entry.

resultsSeven femurs from 7 patients were included. The average age at operation was 13.6 years, and the leg length difference was 51 mm (range 30-105 mm). Associated deformities were valgus (4), knee flexion contracture (2), and both valgus and flexion contracture (1). Lengthening achieved was 43 mm (P = 0.0036), with a consolidation index of 27 days/cm and reliability of 0.87 (6/7). The 5 patients with angulation had an improvement of valgus from 12 to 4° (P = 0.006) and of the mechanical axis deviation from 34 to 3 mm (P = 0.0001). The range of motion also improved in the 3 patients with contractures. Preoperative gait disturbance, hip and knee pain, and functional scoliosis resolved after the limb deformities were corrected.

conclusionCombining a magnetic internal lengthening nail with a second distal osteotomy stabilized with a plate can successfully correct limb length and distal femur deformity acutely without altering the expected result of each procedure.

Indexed as

AdolescentBone LengtheningBone NailsBone PlatesChildFemaleFemurFracture Fixation, IntramedullaryHumansLegLeg Length InequalityMagneticsMaleOsteotomyRange of Motion, ArticularRetrospective StudiesCombined femoral deformitiesLeg length discrepancyLimb lengtheningMagnetic intramedullary nailingPRECICE nailTwo-level osteotomy

Identifiers

PMID33451359
PMCPMC7809855

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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.