Evaluation of the first experience of intramedullary nail lengthening using PRECICE® in a South African limb lengthening and reconstruction unit
dc.contributor.author | Birkholtz, Franz Friedrich | |
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 |