Complications and risk factors of intramedullary bone lengthening nails: a retrospective multicenter cohort study of 314 FITBONE and PRECICE nails
Background and purpose: Intramedullary bone-lengthening nails have become increasingly popular. The 2 most used and successful nails are the FITBONE and the PRECICE nails. Uniform reporting is lacking on complications of intramedullary bone-lengthening nails. The purpose was therefore to assess and...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Medical Journals Sweden
2023-02-01
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| Series: | Acta Orthopaedica |
| Subjects: | |
| Online Access: | https://actaorthop.org/actao/article/view/8479 |
| _version_ | 1797902679392911360 |
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| author | Markus W Frost Ole Rahbek Christopher Iobst Anirejuoritse Bafor Molly Duncan Søren Kold |
| author_facet | Markus W Frost Ole Rahbek Christopher Iobst Anirejuoritse Bafor Molly Duncan Søren Kold |
| author_sort | Markus W Frost |
| collection | DOAJ |
| description |
Background and purpose: Intramedullary bone-lengthening nails have become increasingly popular. The 2 most used and successful nails are the FITBONE and the PRECICE nails. Uniform reporting is lacking on complications of intramedullary bone-lengthening nails. The purpose was therefore to assess and categorize the complications of lower limb bone-lengthening nails and investigate risk factors.
Patients and methods: We performed a retrospective review of patients operated on with intramedullary lengthening nails at 2 hospitals. We included only lower limb lengthening with FITBONE and PRECICE nails. Recorded patient data was patient demographics, nail information, and any complication. Complications were graded according to severity and origin classification. Complication risk factors were assessed with modified Poisson regression.
Results: 314 segments in 257 patients were included. The FITBONE nail was predominantly used (75%), and most of the lengthenings were performed in the femur (80%). 53% of the patients had complications. 269 complications were identified in 175 segments (144 patients). Device-related complications were most frequent (0.3 complications/segment), followed by joint complications (0.2 complications/segment). An increased relative risk was found for complications in the tibia compared with the femur and for age groups above 30 years compared with the 10–19 years group.
Conclusion: Complications with intramedullary bone lengthening nails were more frequent than has previously been reported, with 53% of patients sustaining a complication. Future studies need to document the complications meticulously so that the true risk can be established.
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| first_indexed | 2024-04-10T09:21:27Z |
| format | Article |
| id | doaj.art-e7d688a822904843a9d1fce1606c33ff |
| institution | Directory Open Access Journal |
| issn | 1745-3674 1745-3682 |
| language | English |
| last_indexed | 2024-04-10T09:21:27Z |
| publishDate | 2023-02-01 |
| publisher | Medical Journals Sweden |
| record_format | Article |
| series | Acta Orthopaedica |
| spelling | doaj.art-e7d688a822904843a9d1fce1606c33ff2023-02-20T12:41:59ZengMedical Journals SwedenActa Orthopaedica1745-36741745-36822023-02-019410.2340/17453674.2023.8479Complications and risk factors of intramedullary bone lengthening nails: a retrospective multicenter cohort study of 314 FITBONE and PRECICE nailsMarkus W Frost0Ole Rahbek1Christopher Iobst2Anirejuoritse Bafor3Molly Duncan4Søren Kold5Department of Orthopedic Surgery, Aalborg University Hospital; Aalborg; Department of Clinical Medicine, Faculty of Medicine, Aalborg University, Aalborg, DenmarkDepartment of Orthopedic Surgery, Aalborg University Hospital; Aalborg; Department of Clinical Medicine, Faculty of Medicine, Aalborg University, Aalborg, DenmarkDepartment of Orthopaedic Surgery, Center for Limb Lengthening and Reconstruction, Nationwide Children’s Hospital, Columbus, OH, USADepartment of Orthopaedic Surgery, Center for Limb Lengthening and Reconstruction, Nationwide Children’s Hospital, Columbus, OH, USADepartment of Orthopaedic Surgery, Center for Limb Lengthening and Reconstruction, Nationwide Children’s Hospital, Columbus, OH, USADepartment of Orthopedic Surgery, Aalborg University Hospital; Aalborg; Department of Clinical Medicine, Faculty of Medicine, Aalborg University, Aalborg, Denmark Background and purpose: Intramedullary bone-lengthening nails have become increasingly popular. The 2 most used and successful nails are the FITBONE and the PRECICE nails. Uniform reporting is lacking on complications of intramedullary bone-lengthening nails. The purpose was therefore to assess and categorize the complications of lower limb bone-lengthening nails and investigate risk factors. Patients and methods: We performed a retrospective review of patients operated on with intramedullary lengthening nails at 2 hospitals. We included only lower limb lengthening with FITBONE and PRECICE nails. Recorded patient data was patient demographics, nail information, and any complication. Complications were graded according to severity and origin classification. Complication risk factors were assessed with modified Poisson regression. Results: 314 segments in 257 patients were included. The FITBONE nail was predominantly used (75%), and most of the lengthenings were performed in the femur (80%). 53% of the patients had complications. 269 complications were identified in 175 segments (144 patients). Device-related complications were most frequent (0.3 complications/segment), followed by joint complications (0.2 complications/segment). An increased relative risk was found for complications in the tibia compared with the femur and for age groups above 30 years compared with the 10–19 years group. Conclusion: Complications with intramedullary bone lengthening nails were more frequent than has previously been reported, with 53% of patients sustaining a complication. Future studies need to document the complications meticulously so that the true risk can be established. https://actaorthop.org/actao/article/view/8479Bone Lengthening NailBone LengtheningBone NailsFITBONEIntraoperative ComplicationsPostoperative Complications |
| spellingShingle | Markus W Frost Ole Rahbek Christopher Iobst Anirejuoritse Bafor Molly Duncan Søren Kold Complications and risk factors of intramedullary bone lengthening nails: a retrospective multicenter cohort study of 314 FITBONE and PRECICE nails Acta Orthopaedica Bone Lengthening Nail Bone Lengthening Bone Nails FITBONE Intraoperative Complications Postoperative Complications |
| title | Complications and risk factors of intramedullary bone lengthening nails: a retrospective multicenter cohort study of 314 FITBONE and PRECICE nails |
| title_full | Complications and risk factors of intramedullary bone lengthening nails: a retrospective multicenter cohort study of 314 FITBONE and PRECICE nails |
| title_fullStr | Complications and risk factors of intramedullary bone lengthening nails: a retrospective multicenter cohort study of 314 FITBONE and PRECICE nails |
| title_full_unstemmed | Complications and risk factors of intramedullary bone lengthening nails: a retrospective multicenter cohort study of 314 FITBONE and PRECICE nails |
| title_short | Complications and risk factors of intramedullary bone lengthening nails: a retrospective multicenter cohort study of 314 FITBONE and PRECICE nails |
| title_sort | complications and risk factors of intramedullary bone lengthening nails a retrospective multicenter cohort study of 314 fitbone and precice nails |
| topic | Bone Lengthening Nail Bone Lengthening Bone Nails FITBONE Intraoperative Complications Postoperative Complications |
| url | https://actaorthop.org/actao/article/view/8479 |
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