One-stage lengthening and derotational osteotomy of the femur stabilised with a Gamma nail

• Published in: The European journal of surgery 1999-12, Vol.165 (12), p.1142-1146
• Main Authors: van Doorn, Ron, Leemans, Rob, Stapert, Jouwert W. J. L.
• Format: Article
• Language: English
• Subjects: Adult; Biological and medical sciences; Bone Lengthening - adverse effects; Bone Lengthening - methods; Bone Nails; Femoral Fractures - complications; Femoral Fractures - surgery; Femur - surgery; Fracture Fixation, Internal - adverse effects; Humans; Leg Length Inequality - etiology; Leg Length Inequality - surgery; Male; Medical sciences; Middle Aged; Orthopedic surgery; Osteotomy - adverse effects; Osteotomy - methods; Retrospective Studies; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases
• ISSN: 1102-4151; 1741-9271
• DOI: 10.1080/110241599750007667

Objectives: To study the results of a one‐stage lengthening and derotational osteotomy stabilised with a Gamma nail. Design: Retrospective study. Setting: 2 hospitals, The Netherlands. Patients: 5 patients after failed osteosynthesis of femoral fractures. Interventions: Mean lengthening of 3 cm and derotation of 30°. Main outcome measures: 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. Copyright © 1999 Taylor and Francis Ltd.