title: Plating after lengthening (PAL): technical notes and preliminary clinical experiences.
abstract: BACKGROUND
  Shortening the period of time for the external fixator after limb lengthening decreases the complication rate and increases the patient satisfaction.
  
  
  METHODS
  We describe the plating after lengthening (PAL) as a new technique on five patients with limb length discrepancy (1 femoral, 4 tibial) who had lengthening procedure with Ilizarov technique. The mean amount of lengthening was 50 mm. The mean lengthening period was 100 days (5-135 days). When the lengthening period ended, the locking compression plate was applied percutaneously by using the technique of minimal invasive plate osteosynthesis, and the Ilizarov external fixator was removed.
  
  
  RESULTS
  The fixator-free period was achieved at the beginning of the consolidation phase, except in two patients, which were delayed for plating because of pin-tract infection. No complication was encountered except in one patient who had limited flexion of knee joint. There was no need for blood transfusion.
  
  
  CONCLUSIONS
  The PAL, which shortened the period of time for the external fixator, was an easy and safe method for the fixation of the bone after limb lengthening.
authors.affiliation: Department of Orthopedics and Traumatology, Adana Medical Center, Baskent University School of Medicine, Adana, Turkey. mstfysl@hotmail.com
authors.forename: Mustafa
authors.initials: M
authors.lastname: Uysal
authors.forename: Sercan
authors.initials: S
authors.lastname: Akpinar
authors.forename: Necip
authors.initials: N
authors.lastname: Cesur
authors.forename: Murat Ali
authors.initials: MA
authors.lastname: Hersekli
authors.forename: Reha N
authors.initials: RN
authors.lastname: Tandoğan
mesh_terms: D000293:Adolescent; D000328:Adult; D001860:Bone Plates; D005269:Femur / Q000601:surgery*; D006801:Humans; D018889:Ilizarov Technique; D007870:Leg Length Inequality / Q000601:surgery*; D013977:Tibia / Q000601:surgery*; D013997:Time Factors; D016896:Treatment Outcome