ArticleInternational orthopaedics2021
Complications and functional, psychological outcomes of bilateral tibial lengthening over intramedullary nail: evidence from Vietnam.
Article in International orthopaedics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.
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Who cites it
7 citing papers in PubMed, 9 citations in OpenAlex.
- Functional outcomes and complications of tibial lengthening using the lengthening over nail technique in leg length discrepancy patients in a low-resource setting.European journal of orthopaedic surgery & traumatology : orthopedie traumatologie · 2026Article
- Measuring more than just centimeters: a scoping review of outcome measures in cosmetic stature lengthening.Journal of orthopaedic surgery and research · 2025Review
- A novel assisted reduction method in extra-articular fractures of the distal tibia treated with intramedullary nail.Frontiers in medicine · 2024Article
- Treatment of 18 cm lower limb length discrepancy using lengthening over nail technique in tibia and lengthening and plating in femur - A case report.International journal of surgery case reports · 2023Article
- Early Pixel Value Ratios to Assess Bone Healing During Distraction Osteogenesis.Frontiers in bioengineering and biotechnology · 2022Article
- Consent in Limb Lengthening Surgery: Predicting the True Incidence of Material Risk.Strategies in trauma and limb reconstructionArticle
- Information Transparency for Elective Stature Lengthening Surgery: A Secret Shopper Study.Strategies in trauma and limb reconstructionReview
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe purpose of this study was to assess the functional, psychological outcomes and complications of bilateral tibial lengthening over intramedullary nail. The intramedullary nail in this study was the Surgical Implant Generation Network (SIGN) nail. MATERIAL AND
methodsWe enrolled patients desiring stature lengthening at the 108 Military Central Hospital (Hanoi, Vietnam) from October 2011 to January 2019. A total of 104 people have been enrolled in the study and underwent the bilateral tibial lengthening procedure.
resultsAverage tibial lengthening was 7.1 ± 0.8 cm in men and 6.5 ± 0.6 cm in women. Percentage of tibial lengthening as compared with tibia length at the time of pre-operation was 23.9 ± 3.5% for male patients and 21.5 ± 3.7% for female patients. The outcome was excellent in 85 patients (81.7%) and good in 19 (18.3%). All patients experienced improved self-esteem and enhanced quality of life.
conclusionOur study suggests that bilateral tibial lengthening over nail was safe and effective provided complications are looked for and kept in check. Equinus contracture, pin tract infection, and valgus deviation were the most common complications. Valgus deviation occurs during distraction period. In patient who had neutral or valgus alignment, we recommend to use a blocking screw at the proximal segment post-operatively and use a blocking screw at the valgus distal segment at the end of distraction period to maintain the mechanical axis of both tibias. Bilateral tibial lengthening over nail should be widely employed in low-income countries.
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