Lengthening of the tibia over an intramedullary nail, using the llizarov external fixator: Major complications and slow consolidation in 9 lengthenings

Authors

  • Leif Pål Kristiansen
  • Harald Steen

DOI:

https://doi.org/10.3109/17453679908997806

Abstract

We lengthened 9 tibial segments over a nail to reduce the time in the external fixator in 5 patients with constitutional shortness. The median lengthening was 7 (5.5–7.3) cm and the external llizarov frame was removed after median 99 (63–125) days. In spite of a short time in the external fixator, consolidation was slow, with a median lengthening index of 4.4 (2.4–6.1) months/cm. The procedure resulted in 3 fatigue fractures of the intramedullary nail or interlocking screws that needed revision and bone grafting. In 1 patient, a deep intramedullary infection occurred. After the experience of these major complications we have returned to the traditonal callotasis lengthening method described by llizarov.

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Published

1999-01-01

How to Cite

Kristiansen, L. P., & Steen, H. (1999). Lengthening of the tibia over an intramedullary nail, using the llizarov external fixator: Major complications and slow consolidation in 9 lengthenings. Acta Orthopaedica, 70(3), 271–274. https://doi.org/10.3109/17453679908997806

Issue

Acta Orthopaedica, Volume 70, Issue 3 (1999)

Section

Articles

License

Acta Orthopaedica (Scandinavica) content is available freely online as from volume 1, 1930. The journal owner owns the copyright for all material published until volume 80, 2009. As of June 2009, the journal has however been published fully Open Access, meaning the authors retain copyright to their work. As of June 2009, articles have been published under CC-BY-NC or CC-BY licenses, unless otherwise specified.
 
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