title: [Management of a fracture in a previously shortened extremity].
abstract: The management of fracture within previously shortened extremity is presented. Three patients with femoral fracture and one with crural fracture were treated. All fractures were displaced. Modified Ilizarov ring distractor was used to stabilize the fracture within 3 days from injury. Distraction was commenced on third postoperative day at speed of 0.75-2 mm/h with progressive reduction of fragments and alignment of mechanical axis of the limb. Lengthening required to equalize extremities was achieved in all cases. The author claims fracture within previously shortened extremity to be one more indication for external osteosynthesis as a method of choice.
authors.affiliation: Kliniki Ortopedii Dzieciecej IOR AM im. K. Marcinkowskiego w Poznaniu.
authors.forename: F
authors.initials: F
authors.lastname: Rajewski
mesh_terms: D000293:Adolescent; D002648:Child; D005264:Femoral Fractures / Q000209:etiology / Q000628:therapy*; D006801:Humans; D018889:Ilizarov Technique; D007870:Leg Length Inequality / Q000628:therapy*; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*