Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case Series
Limb length discrepancy (LLD) is a common problem after joint-preserving hip surgeries, hip dysplasia, and hip deformities. Limping, pain, sciatica, paresthesia, and hip instability are common clinical findings and may necessitate limb-lengthening procedures. The study included five patients (two fe...
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| Format: | Article |
| Language: | English |
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MDPI AG
2020-12-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/9/12/4104 |
| _version_ | 1797544150881533952 |
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| author | Lukas Zak Thomas Manfred Tiefenboeck Gerald Eliot Wozasek |
| author_facet | Lukas Zak Thomas Manfred Tiefenboeck Gerald Eliot Wozasek |
| author_sort | Lukas Zak |
| collection | DOAJ |
| description | Limb length discrepancy (LLD) is a common problem after joint-preserving hip surgeries, hip dysplasia, and hip deformities. Limping, pain, sciatica, paresthesia, and hip instability are common clinical findings and may necessitate limb-lengthening procedures. The study included five patients (two female and three male, mean age of 28 years (20–49; SD: 12)) with symptomatic limb length discrepancy greater than 2.5 cm (mean: 3.6 cm) after total hip arthroplasty (THA), hip dysplasia, or post-traumatic hip surgery. They underwent either ipsi- or contralateral intramedullary limb-lengthening surgeries using the PRECICE™ telescopic nail. All patients achieved complete bone healing and correction of the pelvic obliquity after intramedullary lengthening. None of the patients had a loss of proximal or distal joint motion. The mean distraction-consolidation time (DCT) was 3.8 months, the distraction index (DI) 0.7 mm/day, the lengthening index (LI) 1.8 months/cm, the consolidation index (CI) 49.2 days/cm, the healing index (HI) 1.1 months/cm, and the modified healing index (HI*) 34 days/cm. Intramedullary limb lengthening after LLD in cases of hip dysplasia, hip deformity, and various kinds of hip surgery is a useful and safe procedure in young patients to achieve equal limb length. No functional impairment of the preceded hip surgery was seen. |
| first_indexed | 2024-03-10T13:55:20Z |
| format | Article |
| id | doaj.art-933921d7d39b43308f531fe1d7c595d1 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T13:55:20Z |
| publishDate | 2020-12-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-933921d7d39b43308f531fe1d7c595d12023-11-21T01:40:07ZengMDPI AGJournal of Clinical Medicine2077-03832020-12-01912410410.3390/jcm9124104Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case SeriesLukas Zak0Thomas Manfred Tiefenboeck1Gerald Eliot Wozasek2Department of Orthopedics and Trauma-Surgery, Medical University of Vienna, Trauma Surgery, Waehringer Guertel 18–20, A-1090 Vienna, AustriaDepartment of Orthopedics and Trauma-Surgery, Medical University of Vienna, Trauma Surgery, Waehringer Guertel 18–20, A-1090 Vienna, AustriaDepartment of Orthopedics and Trauma-Surgery, Medical University of Vienna, Trauma Surgery, Waehringer Guertel 18–20, A-1090 Vienna, AustriaLimb length discrepancy (LLD) is a common problem after joint-preserving hip surgeries, hip dysplasia, and hip deformities. Limping, pain, sciatica, paresthesia, and hip instability are common clinical findings and may necessitate limb-lengthening procedures. The study included five patients (two female and three male, mean age of 28 years (20–49; SD: 12)) with symptomatic limb length discrepancy greater than 2.5 cm (mean: 3.6 cm) after total hip arthroplasty (THA), hip dysplasia, or post-traumatic hip surgery. They underwent either ipsi- or contralateral intramedullary limb-lengthening surgeries using the PRECICE™ telescopic nail. All patients achieved complete bone healing and correction of the pelvic obliquity after intramedullary lengthening. None of the patients had a loss of proximal or distal joint motion. The mean distraction-consolidation time (DCT) was 3.8 months, the distraction index (DI) 0.7 mm/day, the lengthening index (LI) 1.8 months/cm, the consolidation index (CI) 49.2 days/cm, the healing index (HI) 1.1 months/cm, and the modified healing index (HI*) 34 days/cm. Intramedullary limb lengthening after LLD in cases of hip dysplasia, hip deformity, and various kinds of hip surgery is a useful and safe procedure in young patients to achieve equal limb length. No functional impairment of the preceded hip surgery was seen.https://www.mdpi.com/2077-0383/9/12/4104limb lengtheningintramedullary lengtheninghip surgerylimb length discrepancy |
| spellingShingle | Lukas Zak Thomas Manfred Tiefenboeck Gerald Eliot Wozasek Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case Series Journal of Clinical Medicine limb lengthening intramedullary lengthening hip surgery limb length discrepancy |
| title | Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case Series |
| title_full | Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case Series |
| title_fullStr | Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case Series |
| title_full_unstemmed | Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case Series |
| title_short | Intramedullary Bone Lengthening Following Preceding Hip Surgery—A Case Series |
| title_sort | intramedullary bone lengthening following preceding hip surgery a case series |
| topic | limb lengthening intramedullary lengthening hip surgery limb length discrepancy |
| url | https://www.mdpi.com/2077-0383/9/12/4104 |
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