Complications common in motorized intramedullary bone transport for non-infected segmental defects: a retrospective review of 15 patients.
Background and purpose — Since the introduction of intramedullary bone transport nails only very few cases have been reported in the literature. Thus we evaluated the results and complications in a single institution retrospective cohort. Patients and methods — 15 (median age 40 years (18-70), 8 mal...
| Publicado en: | Acta Orthopaedica Vol. 92; no. 4; pp. 485 - 493 |
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| Autores principales: | , , , |
| Formato: | diagnostic images research tables/charts Journal Article |
| Publicado: |
Medical Journals Sweden AB
Aug2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=152023594&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 152023594 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17453674 1BVL jtl: Acta Orthopaedica issn: 17453674 maglogo: N pubinfo: dt: Aug2021 vid: 92 iid: 4 pid: 59195 pub: Medical Journals Sweden AB artinfo: ui: 152023594 150632798 152023594 152023594 10.1080/17453674.2021.1910777 152023594 ppf: 485 ppct: 8 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Complications common in motorized intramedullary bone transport for non-infected segmental defects: a retrospective review of 15 patients. aug: au: Mikužis, Mindaugas Rahbek, Ole Christensen, Knud Kold, Søren affil: Department of Orthopaedics, Aalborg University Hospital, Aalborg sug: subj: Postoperative Complications Orthopedic Fixation Devices Bone and Bones Pathology Human Male Female Adolescence Adult Middle Age Aged Retrospective Design Descriptive Statistics Electronic Health Records Diagnostic Imaging Bone and Bones Radiography Adolescent: 13-18 years Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: Background and purpose — Since the introduction of intramedullary bone transport nails only very few cases have been reported in the literature. Thus we evaluated the results and complications in a single institution retrospective cohort. Patients and methods — 15 (median age 40 years (18-70), 8 males) consecutive patients, were included and the electronic patient records and radiographs were reviewed. Complications were severity graded and categorized as device or non-device related. Results — The segmental bone loss was due to non-union site in 8 femurs and 4 tibias, or traumatic bone loss in 2 femurs and 1 tibia. The segmental bone defect was a median of 3 cm (0.5–10). 9 of 10 femoral cases and 4 of 5 tibial cases healed with the bone transport nail. All 15 patients had a healed docking site and regenerate at the end of treatment after a median of 13 months (6–38). 24 complications (15 device related and 9 non-device related) occurred in 11/15 patients with a minimum follow-up of 6 months after nail removal. The number of unplanned surgeries due to device related complications was: 0 in 9 patients, 1 in 3 patients, 2 in 1 patient, 3 in 2 patients. Interpretation — Segmental bone defects can heal with a bone transport nail. However, the number of complications was high and 15 out of 24 complications were devicerelated. Optimizing nail design is therefore needed to reduce complications in intramedullary bone transport. pubtype: Academic Journal doctype: diagnostic images research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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