Motorized Intramedullary Nail Lengthening in the Older Population
Limb lengthening has not been widely employed in the elderly population due to concerns that outcomes will be inferior. The purpose of this multicenter, retrospective case-control series was to report the bone healing outcomes and complications of lower limb lengthening in older patients (≥60 years)...
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| Format: | Article |
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MDPI AG
2022-09-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/11/17/5242 |
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| author | Kenneth P. Powell Ahmed I. Hammouda Larysa P. Hlukha Jessica C. Rivera Minoo Patel S. Robert Rozbruch Janet D. Conway John E. Herzenberg |
| author_facet | Kenneth P. Powell Ahmed I. Hammouda Larysa P. Hlukha Jessica C. Rivera Minoo Patel S. Robert Rozbruch Janet D. Conway John E. Herzenberg |
| author_sort | Kenneth P. Powell |
| collection | DOAJ |
| description | Limb lengthening has not been widely employed in the elderly population due to concerns that outcomes will be inferior. The purpose of this multicenter, retrospective case-control series was to report the bone healing outcomes and complications of lower limb lengthening in older patients (≥60 years) using magnetic intramedullary lengthening nail (MILN). Our hypothesis was that healing parameters including consolidation days, the consolidation index, maturation days, and the maturation index, as well as the number of adverse events reported in the older population, would be no different to those of the general adult population. We retrospectively reviewed charts and radiographs from patients ≥60 years of age with limb-length discrepancies who underwent femoral or tibial lengthening using a MILN. Parameters were compared among the age categories “≤19 years,” “20–39 years,” “40–59 years,” or “≥60 years” and propensity-matched cohorts for the age groups 20–59 years and ≥60 years. Complications were reported as percentages for each age category. In the study period, 354 MILN were placed in 257 patients. Sixteen nails were placed in patients 60 years of age or older (mean 65 ± 5 years; range 60–72 years). Comparisons of healing parameters showed no difference between those aged 60+ and the younger cohort. Complication percentages were not statistically significant (<i>p</i> = 0.816). Limb lengthening with MILN may therefore be considered a safe and feasible option for a generally healthy elderly population. |
| first_indexed | 2024-03-10T01:37:10Z |
| format | Article |
| id | doaj.art-20a2fb8355884550bb891ef90ddac043 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T01:37:10Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-20a2fb8355884550bb891ef90ddac0432023-11-23T13:30:10ZengMDPI AGJournal of Clinical Medicine2077-03832022-09-011117524210.3390/jcm11175242Motorized Intramedullary Nail Lengthening in the Older PopulationKenneth P. Powell0Ahmed I. Hammouda1Larysa P. Hlukha2Jessica C. Rivera3Minoo Patel4S. Robert Rozbruch5Janet D. Conway6John E. Herzenberg7Shriners Hospital for Children, Shreverport, LA 71103, USADepartment of Orthopedics and Trauma, Al-Azhar University Hospitals, Cairo 11511, EgyptInternational Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USAInternational Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USACentre for Limb Lengthening and Reconstruction, Richmond, VIC 3121, AustraliaHospital for Special Surgery, New York, NY 10021, USAInternational Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USAInternational Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, Baltimore, MD 21215, USALimb lengthening has not been widely employed in the elderly population due to concerns that outcomes will be inferior. The purpose of this multicenter, retrospective case-control series was to report the bone healing outcomes and complications of lower limb lengthening in older patients (≥60 years) using magnetic intramedullary lengthening nail (MILN). Our hypothesis was that healing parameters including consolidation days, the consolidation index, maturation days, and the maturation index, as well as the number of adverse events reported in the older population, would be no different to those of the general adult population. We retrospectively reviewed charts and radiographs from patients ≥60 years of age with limb-length discrepancies who underwent femoral or tibial lengthening using a MILN. Parameters were compared among the age categories “≤19 years,” “20–39 years,” “40–59 years,” or “≥60 years” and propensity-matched cohorts for the age groups 20–59 years and ≥60 years. Complications were reported as percentages for each age category. In the study period, 354 MILN were placed in 257 patients. Sixteen nails were placed in patients 60 years of age or older (mean 65 ± 5 years; range 60–72 years). Comparisons of healing parameters showed no difference between those aged 60+ and the younger cohort. Complication percentages were not statistically significant (<i>p</i> = 0.816). Limb lengthening with MILN may therefore be considered a safe and feasible option for a generally healthy elderly population.https://www.mdpi.com/2077-0383/11/17/5242bone lengtheninggeriatricintramedullary lengthening naillimb length discrepancyPrecice |
| spellingShingle | Kenneth P. Powell Ahmed I. Hammouda Larysa P. Hlukha Jessica C. Rivera Minoo Patel S. Robert Rozbruch Janet D. Conway John E. Herzenberg Motorized Intramedullary Nail Lengthening in the Older Population Journal of Clinical Medicine bone lengthening geriatric intramedullary lengthening nail limb length discrepancy Precice |
| title | Motorized Intramedullary Nail Lengthening in the Older Population |
| title_full | Motorized Intramedullary Nail Lengthening in the Older Population |
| title_fullStr | Motorized Intramedullary Nail Lengthening in the Older Population |
| title_full_unstemmed | Motorized Intramedullary Nail Lengthening in the Older Population |
| title_short | Motorized Intramedullary Nail Lengthening in the Older Population |
| title_sort | motorized intramedullary nail lengthening in the older population |
| topic | bone lengthening geriatric intramedullary lengthening nail limb length discrepancy Precice |
| url | https://www.mdpi.com/2077-0383/11/17/5242 |
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