One-stage lengthening and derotational osteotomy of the femur stabilised with a gamma nail.
OBJECTIVE
To study the results of a one-stage lengthening and derotational osteotomy stabilised with a Gamma nail.


METHODS
Retrospective study.


METHODS
2 hospitals, The Netherlands.


METHODS
5 patients after failed osteosynthesis of femoral fractures.


METHODS
Mean lengthening of 3 cm and derotation of 30 degrees.


METHODS
Complications and functional results, after a mean follow-up of 43 months (range 30-57).


RESULTS
Two patients required dynamisation and a cancellous bone graft to achieve union, which resulted in 1 and 1.5 cm loss of length. One patient had a temporary peroneal neurapraxy. No infections were observed.


CONCLUSIONS
Our method is not an ultimate solution, but is suitable for one-stage lengthening and derotation osteotomies.
van Doorn
R
R
Department of Surgery, Catharina Hospital Eindhoven, The Netherlands.
Leemans
R
R
Stapert
J W
JW
D000328:Adult; D001852:Bone Lengthening / Q000009:adverse effects / Q000379:methods*; D001858:Bone Nails; D005264:Femoral Fractures / Q000150:complications / Q000601:surgery; D005269:Femur / Q000601:surgery*; D005593:Fracture Fixation, Internal / Q000009:adverse effects; D006801:Humans; D007870:Leg Length Inequality / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D010027:Osteotomy / Q000009:adverse effects / Q000379:methods*; D012189:Retrospective Studies