Open AccessComparison between lengthening over nail and conventional Ilizarov lengthening: a prospective randomized clinical study
Author(s) -
Timour El-Husseini,
Nabil A. M. Ghaly,
M Mahran,
M. Adnane,
Khaled Emara
Publication year - 2013
Publication title -
strategies in trauma and limb reconstruction/strategies in trauma and limb reconstruction
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.5
H-Index - 24
eISSN - 1828-8936
pISSN - 1828-8928
DOI - 10.1007/s11751-013-0163-x
Subject(s) - intramedullary rod , medicine , surgery , orthopedic surgery , fixation (population genetics) , external fixation , prospective cohort study , nail (fastener) , external fixator , population , environmental health , materials science , metallurgy
The aim of this study is to compare lengthening over an intramedullary nail to the conventional Ilizarov method with regard to percentage length increase, external fixation index, consolidation index and incidence of complications. This is a prospective randomized controlled study. Thirty-one limbs in 28 patients were included in the study; 15 were lengthened over an intramedullary nail, and 16 limbs were lengthened conventionally. The mean duration of external fixation in the lengthening over nail group was 52.2 days compared to 180.4 days in the conventional group. There was higher incidence of complications in the conventional method group. In comparison with conventional Ilizarov lengthening, lengthening over an intramedullary nail offers a shorter period of external fixation and fewer complications overall, but there is a high incidence of deep intramedullary infection which is serious.