[Callus distraction lengthening of the tibia with the intramedullary kinetic nail (case report)].
In this report the first experience with callus distraction lengthening using the intramedullary kinetic nail is described. This was performed on a left tibia with a total shortening of 34 mm. The distraction phase lasted 36 days and the rate of distraction was 0.95 mm per day. The full weight-bearing of the treated lower extremity was allowed at 12 weeks after surgery. Complete consolidation of the callus was achieved at 112 days and the consolidation index was 3.21 days/mm. No serious complications were recorded during the post-operative period. At 12 months after surgery, the patient showed a full range of motion in the knee, his ankle range of motion was S 15-0-35, and he achieved an excellent functional outcome on evaluation by Paley's classification.
Visna
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P
Traumatologické oddelení Chirurgické kliniky 2. LF UK a FN Motol, Praha. petr.visna@fnmotol.cz
Beitl
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E
Smídl
Z
Z
Kalvach
J
J
Jaganjac
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E
D000328:Adult; D002146:Bony Callus / Q000601:surgery*; D005360:Fibula / Q000293:injuries / Q000601:surgery; D005594:Fracture Fixation, Intramedullary; D050723:Fractures, Bone / Q000601:surgery; D005597:Fractures, Open / Q000601:surgery; D006801:Humans; D008297:Male; D019857:Osteogenesis, Distraction; D013977:Tibia / Q000601:surgery*; D013978:Tibial Fractures / Q000150:complications / Q000601:surgery*