title: [The author's own method of local anesthesia for skin incision around implants during limb lengthening].
abstract: Infection around implants is the most frequently described problem during limb lengthening. Fast elimination of the inflammatory response is crucial for intensive mobilization and weight bearing of the extremity being elongated. Prior to the unloading incision of the skin stretched around the implant EMLA ointment was used repeatedly in 12 children. EMLA was applied 1-2 hours prior to the procedure and covered with an occlusive dressing. All skin incisions, also within inflamed areas were painless. The management described eliminates the need for general anesthesia and thus for hospitalization, lowers treatment costs and limits child's anxiety.
authors.affiliation: Kliniki Ortopedii Dzieciecej Instytutu Ortopedii i Rehabilitacji AM, Poznaniu.
authors.forename: F
authors.initials: F
authors.lastname: Rajewski
authors.forename: H
authors.initials: H
authors.lastname: Grudniewicz
mesh_terms: D000293:Adolescent; D000772:Anesthesia, Local / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage*; D001852:Bone Lengthening / Q000191:economics / Q000379:methods*; D002648:Child; D002675:Child, Preschool; D003363:Cost Control; D004338:Drug Combinations; D005260:Female; D006801:Humans; D007249:Inflammation / Q000191:economics / Q000517:prevention & control*; D008012:Lidocaine / Q000008:administration & dosage*; D000077442:Lidocaine, Prilocaine Drug Combination; D008297:Male; D009779:Occlusive Dressings; D011044:Poland; D011318:Prilocaine / Q000008:administration & dosage*; D019736:Prostheses and Implants / Q000009:adverse effects*; D016474:Weight-Bearing
chemical_list: D000779:Anesthetics, Local; D004338:Drug Combinations; D000077442:Lidocaine, Prilocaine Drug Combination; D011318:Prilocaine; D008012:Lidocaine