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

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...

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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.
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creator van Doorn, Ron
Leemans, Rob
Stapert, Jouwert W. J. L.
description 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.
doi_str_mv 10.1080/110241599750007667
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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
title One-stage lengthening and derotational osteotomy of the femur stabilised with a Gamma nail
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