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Published in: Journal of Orthopaedic Science 1/2015

Open Access 01-01-2015 | Original Article

Femoral lengthening and deformity correction using the Fitbone motorized lengthening nail

Authors: Metin Küçükkaya, Özgür Karakoyun, Sami Sökücü, Ramazan Soydan

Published in: Journal of Orthopaedic Science | Issue 1/2015

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Abstract

Background

This study reports our results with retrograde Fitbone insertion in patients with femoral shortening and deformity. We also present our experience regarding the benefits, complications, and factors associated with complications of the Fitbone technique.

Methods

Twelve males and ten females had femoral shortening and deformities treated using the retrograde Fitbone technique between 2009 and 2012. The etiologies were post-traumatic in 12 patients, poliomyelitis in four, cosmetic in two, congenital hypoplasia in two, achondroplasia in one, and Perthes sequela in one.

Results

The follow-up time was 30.8 months. The mean lengthening was 5.8 (range 2–14) cm. The degree of acute angular correction was 9° (5–22°) in nine cases. The time to full weight-bearing was 5.9 months. The consolidation index was 1.07 (0.75–1.62) months/cm. Complete consolidation was obtained in all cases except two. Running back was observed in two cases.

Conclusions

The Fitbone technique allows accurate deformity correction. The rigid reamers allow the surgeon to use the Fitbone even in patients with a narrow medullary canal. As this might result in poor bone regeneration, thinner lengthening nails should be considered.
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Metadata
Title
Femoral lengthening and deformity correction using the Fitbone motorized lengthening nail
Authors
Metin Küçükkaya
Özgür Karakoyun
Sami Sökücü
Ramazan Soydan
Publication date
01-01-2015
Publisher
Springer Japan
Published in
Journal of Orthopaedic Science / Issue 1/2015
Print ISSN: 0949-2658
Electronic ISSN: 1436-2023
DOI
https://doi.org/10.1007/s00776-014-0659-3

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