Abstract
One hundred fifty two patients underwent lengthening of 174 femurs with fully implanted guided device inwhich patients muscular energy was used as a source of energy. Dissection of bone from the side of bone marrow canal was carried out by specially eleborated osteotome which provided transverse oblique, oblique transverse, Z-shape strraight and Z-shape oblique osteotomy. Transverse osteotomy was applied in 59 patients (33.9%), oblique - in 70 (40,6%), oblique transverse - in 26 (14.9%) patients. Distraction stage was completed in all patients. In 165 (94.8%) out of 174 cases planned volume lehgethening was achieved. In 150 patients devices were removed. Average rate of distraction was 1.4 0,3 mm/ daily, average duration of distraction was 87 13 days. Good results were achieved in 141 cases (94%), satisfactory - in 7 cases (4.6%), unsatisfactory - in 2 cases (1.4%) out of 150. Complications were observed in 30 (17.2%) out of 174 cases. In 9 cases (5.2%) complications influenced the treatment outcome. Analysis of complications showed that they might be to great extent prevented by accurate observance of the technique of distractor implantation, performance of osteotomy, rate of distraction and rational postoperative management of patient.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a call
