Pelvic Support Osteotomy; Salvage Procedure in Chronically Dislocated Hips
Case Report: Technical Note on the On-lay Bone Positioning of a Lengthening Nail and Review of the Literature
Pieter Reynders-Frederix*, 1, Cristina Reynders-Frederix2, Muhammad Wajid3
Identifiers and Pagination:Year: 2016
First Page: 232
Last Page: 240
Publisher Id: TOORTHJ-10-232
Article History:Received Date: 25/07/2015
Revision Received Date: 06/03/2016
Acceptance Date: 30/04/2016
Electronic publication date: 29/06/2016
Collection year: 2016
open-access license: This is an open access article licensed under the terms of the Creative Commons Attribution-Non-Commercial 4.0 International Public License (CC BY-NC 4.0) (https://creativecommons.org/licenses/by-nc/4.0/legalcode), which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
Young patients with a acquired dislocation of the hip with concomitant shortening of the lower limb is a difficult diagnostic problem with few definite treatment options.
We used the technique, originally described by Ilizarov, with a double femur osteotomy and lengthening the femur. Lengthening was done with a sub muscular placed on-lay femur distraction rod. Distraction of the rod was done by fluid mechanics. After lengthening, the distraction was secured by a parked plate by locking the distal part of the plate.
This patient needed a lengthening of 60 mm, distraction time was 36 days with a distraction index of 1.61 mm per day and a healing index of 31.4 days per cm lengthening.We encountered one complication in which an exchange of the plastic feeding tube was needed at 20 days post-surgery.
In the reported case we could improve gait with reduced limping and equalizing her leg length discrepancy.