Limb Lengthening Forum

Limb Lengthening Surgery => Limb Lengthening Discussions => Topic started by: JP on December 21, 2013, 01:08:00 AM

Title: Femoral lengthening with a rail external fixator: tips and tricks
Post by: JP on December 21, 2013, 01:08:00 AM

Hello! :)

This is a long article but it provided me with lots of information about external femoral lengthening.

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2994627/

After anyone reads this article would you please comment about what your thoughts are about external femur lengthening?

Thank you

Title: Re: Femoral lengthening with a rail external fixator: tips and tricks
Post by: Sweden on December 21, 2013, 05:25:28 AM

It is strongly discourage to do external femurs in any way!

Title: Re: Femoral lengthening with a rail external fixator: tips and tricks
Post by: JP on December 21, 2013, 08:09:03 AM

Thank you for your comment.

I would appreciate all of your input on how external lengthening is wrong?

Because Dr. Robert Rozbruch and Dr. Dror Paley have used external on femur with real good results I was considering this option.

I cut and pasted these quotes any thoughts about what this means?

“ Subtrochanteric femoral lengthening has the advantage of minimal interference with Knee ROM.”

"In general, this deformity is not a clinically significant issue in subtrochanteric lengthening if the target lengthening is kept 5–6 cm”

“The cortical thickness of the femur rapidly increases distal to the lesser trochanter. This can sometimes make the osteotomy more difficult and predispose to a greater likelihood of crack propagation to the nearest pin. Due care and attention are needed, creating a ‘clean’ osteotomy…”