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Journal of Bone and Joint Surgery - British Volume, Vol 84-B, Issue 7,
971-977.
doi: 10.1302/0301-620X.84B7.12984 Copyright © 2002 by British Editorial Society of Bone and Joint Surgery The intramedullary elongation nail for femoral lengtheningE. García-Cimbrelo, MD, Consultant Orthopaedic Surgeon1; A. Curto de la Mano, MD, Consultant Orthopaedic Surgeon2; E. García-Rey, MD, Resident2; J. Cordero, Professor of Orthopaedic Surgery1; and R. Marti-Ciruelos, MD, Orthopaedic Surgeon2
1 Orthopaedic Department, Hospital La Paz, Paseo de la Castellana 261, 28046-Madrid, Spain. Correspondence should be sent to Dr E. García-Cimbrelo at Pez Austral 13, 5°A, 28007-Madrid, Spain. We have analysedin the results of 24 femoral lengthenings in 23 patients operated on between 1993 and 2000, using a gradual elongation intramedullary nail (Albizzia). Of the 23 patients, 22 had femoral deficiency and one was of short stature. Their mean age was 16.9 years. Technical difficulties encountered during the procedure were mild or moderate in 18 femora and severe in six femora. Distraction was obtained by 15 ratchetings per day (1 mm/day). There were 18 excellent results although in two patients this was achieved after the development of a pseudarthrosis which required further surgery. There were four good and two fair results in which the lengthening obtained was at least 3 cm less than had been projected. The consolidation index was 35.2 days/cm. No patient had associated long-term stiffness of the knee. Femoral lengthening using an elongation nail gives good results and is a comfortable procedure. This article has been cited by other articles:
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