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Titolo:
Corrective osteotomies of the distal femur by retrograde nailing
Autore:
Strecker, W; Kinzl, L; Keppler, P;
Indirizzi:
Klinikum Bamberg, Abt Unfallchirurg Hand & Wiederherstellungschirur, D-96049 Bamberg, Germany Klinikum Bamberg Bamberg Germany D-96049 hirur, D-96049 Bamberg, Germany
Titolo Testata:
UNFALLCHIRURG
fascicolo: 10, volume: 104, anno: 2001,
pagine: 973 - 983
SICI:
0177-5537(200110)104:10<973:COOTDF>2.0.ZU;2-J
Fonte:
ISI
Lingua:
GER
Keywords:
femur; deformity; corrective supracondylar osteotomy; retrograde intramedullary nail; leg lengthening;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
23
Recensione:
Indirizzi per estratti:
Indirizzo: Strecker, W Klinikum Bamberg, Abt Unfallchirurg Hand & Wiederherstellungschirur, Burger Str 80, D-96049 Bamberg, Germany Klinikum Bamberg Burger Str 80 Bamberg Germany D-96049 ermany
Citazione:
W. Strecker et al., "Corrective osteotomies of the distal femur by retrograde nailing", UNFALLCHIRU, 104(10), 2001, pp. 973-983

Abstract

Deformities of the distal femur are usually corrected by supracondylar osteotomy. In the "classical" procedure the bone cut is performed with an oscillating saw, and internally fixed using a plate. This technique is hamperedfirst by an invasive approach and second by limited corrective options in case of complex deformities. A supracondylar bone cut by focal dome osteotomy or drill osteoclasis in combination with internal fixation by retrograde intramedullary nailing (RN)might be a promising alternative procedure. 12 patients with multidimensional post-traumatic deformities of the distal femur were prospectively enrolled in a study to investigate this new minimal-invasive technique. In all patients a meticulous analysis of leg geometry was done pre- and postoperatively. Details of operative planning, osteotomy and fixation procedure are given as well as the postoperative treatment. 7 corrective osteotomies were one-step procedures, in 5 patients additional lengthening over the RN was performed using unilateral external fixation. The mean follow-up was 15 (range 7-27) months. All of the osteotomies healed in a normal expected time frame. All patients had important functional benefits. In 11 patients the goal of deformity correction was achieved. In one patient the correction in the frontal plane remained insufficient. 6 months after the completion of femoral lengthening osteomyelitis developed in one patient, probably due to a pin-track infection. The infection subsided after early removal of the RN. No further complications were observed. The presented technique is demanding concerning pre-operative planning andsurgical realization but it offers a minimal-invasive and promising approach for the correction of multidimensional femoral deformities.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 29/03/20 alle ore 01:30:58