title: One-stage lengthening and derotational osteotomy of the femur stabilised with a gamma nail.
abstract: 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.
authors.affiliation: Department of Surgery, Catharina Hospital Eindhoven, The Netherlands.
authors.forename: R
authors.initials: R
authors.lastname: van Doorn
authors.forename: R
authors.initials: R
authors.lastname: Leemans
authors.forename: J W
authors.initials: JW
authors.lastname: Stapert
mesh_terms: 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