Abstract
Femur lengthening for correction of limb length discrepancy in a child with neurological defect (hemiparesis) was showed in the paper. In this case we used distraction osteosynthesis method by Ilizarov (external fixator) with elastic stable intramedullary nailing (ESIN) method. Lengthening rate was 0.95 mm/day (total 3.5 cm), healing index was 34 days/cm. After 6 month of our treatment patient was satisfied for result and had initial Range of Motion (ROM) of hip and knee joints. Currently we are continuing our way of combined bone lengthening in patients with neurological defects in research project and recommend this plan.
Highlights
The Ilizarov distraction osteosynthesis method is the best introducing for orthopaedic correction of axial deformities and limb length discrepancies [1]
Nowadays the problem of length discrepancies is solved by Ilizarov original device, different hexapod external fixators, lengthening over an intramedullary nail or epiphysiodesis contralateral extremity [2,3,4,5]
According to Kocaoglu et al [9] complications in treatment of patients by lengthening over an intramedullary nail occurred in 38% segments
Summary
The Ilizarov distraction osteosynthesis method is the best introducing for orthopaedic correction of axial deformities and limb length discrepancies [1]. Nowadays the problem of length discrepancies is solved by Ilizarov original device, different hexapod external fixators, lengthening over an intramedullary nail or epiphysiodesis contralateral extremity [2,3,4,5]. In practice you can meet a lot of complications such as infections, longer period of fixator treatment, nonunion of bone, contractures of joints, and fractures after frame removal [6,7,8].
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