Evaluation of the first experience of intramedullary nail lengthening using PRECICE® in a South African limb lengthening and reconstruction unit

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dc.contributor.author Birkholtz, F.F. (Franz)
dc.contributor.author De Lange, P.
dc.date.accessioned 2017-05-19T09:36:39Z
dc.date.available 2017-05-19T09:36:39Z
dc.date.issued 2016
dc.description.abstract BACKGROUND : Limb lengthening is performed through distraction osteogenesis after osteotomy and has traditionally been performed using external fixation. The PRECICE® Limb Lengthening System has recently emerged as an alternative method to control distraction. In this study, the first experience of intramedullary nail lengthening using PRECICE®, in a South African limb lengthening and reconstruction unit, was evaluated in terms of the accuracy of distraction and the number of implant-related complications that were reported. METHODS : A total of nine patients underwent the limb lengthening procedure in 11 limb segments. Distraction of the nail was initiated by ERC (external remote controller) around 10 days after surgery at a distraction rate of 1 mm/day. The distraction was monitored every 2 weeks by clinical and radiographic examinations. Ongoing physiotherapy rehabilitation was performed until consolidation was achieved. RESULTS : A mean target distraction length of 45.18 mm (15 to 65 mm range) was obtained over an average followup period of 266 days, with an accuracy of 103% ± 18%. All the distraction segments united. Two complications were reported that were successfully treated. CONCLUSION : Limb lengthening using the PRECICE® nail system was found to have excellent accuracy of distraction, which is reproducible between different segments and indications. Acceptable complication rates were observed in this study. en_ZA
dc.description.department Orthopaedic Surgery en_ZA
dc.description.librarian am2017 en_ZA
dc.description.uri http://www.scielo.org.za/scielo.php?script=sci_serial&pid=1681-150X&lng=pt&nrm=iso en_ZA
dc.identifier.citation Birkholtz, FF & De Lange, P 2016, 'Evaluation of the first experience of intramedullary nail lengthening using PRECICE® in a South African limb lengthening and reconstruction unit', SA Orthopaedic Journal, vol. 15, no. 1, pp. 67-71. en_ZA
dc.identifier.issn 1681-150X
dc.identifier.other 10.17159/2309-8309/2016/v15n1a7
dc.identifier.uri http://hdl.handle.net/2263/60578
dc.language.iso en en_ZA
dc.publisher South African Orthopaedic Association en_ZA
dc.rights South African Orthopaedic Association en_ZA
dc.subject Limb lengthening en_ZA
dc.subject Intramedullary lengthening en_ZA
dc.subject Nail lengthening en_ZA
dc.subject Leg lengthening en_ZA
dc.subject PRECICE® en_ZA
dc.title Evaluation of the first experience of intramedullary nail lengthening using PRECICE® in a South African limb lengthening and reconstruction unit en_ZA
dc.type Article en_ZA


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