Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE).

IF 1 Q3 ORTHOPEDICS

Strategies in Trauma and Limb Reconstruction Pub Date : 2021-05-01 DOI:10.5005/jp-journals-10080-1529

Markus W Frost, Søren Kold, Ole Rahbek, Anirejuoritse Bafor, Molly Duncan, Christopher A Iobst

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引用次数: 4

Abstract

Background: Intramedullary lengthening nails have shown excellent short-term results. The FITBONE and the PRECICE nail are the two most commonly used intramedullary lengthening nails. The manufacturer of each nail recommends the removal of the implant after the completion of the treatment. Despite the need for removal of each nail, the authors are not aware of any prior publications documenting the results of standard intramedullary lengthening nail removal. Therefore, the aim of this study was to examine the intraoperative and postoperative complications of elective intramedullary lengthening nail removals.

Materials and methods: We performed a retrospective chart review of patients operated with intramedullary lengthening nails at two limb reconstruction centres (one in the United States, and the second in Denmark). Data retrieved from the patient charts included patient demographics, nail information and any complications occurring at or after nail removal. Only lower limb lengthening with FITBONE and PRECICE or STRYDE nails that had an elective nail removal was included.

Result: A total of 271 elective nail removals were included in the study. Complications occurred during 3% of the nail removals and in 13% after nail removal. There were 18 reported cases with postoperative knee pain. All these patients had nail removal through the knee joint, representing 8% of the retrograde femur nail removals and 7% of the tibia nail removals. Four postoperative fractures occurred, of which two needed surgery. Eleven percent of femur removals and 26% of tibial removals sustained a complication.

Conclusion and clinical significance: This study emphasises the importance of adequate follow-up of the bone lengthening patient even after the nail has been removed. It also shows that the recommended removal of the intramedullary nail (IMN) lengthening nails must be included in studies reporting on the overall risks of complications using bone lengthening nails.

How to cite this article: Frost MW, Kold S, Rahbek O, et al. Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE). Strategies Trauma Limb Reconstr 2021;16(2):110-115.

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271根骨延长钉(FITBONE、PRECICE、STRYDE)择期拔除并发症分析。

背景:髓内延长钉具有良好的短期效果。FITBONE和PRECICE是两种最常用的髓内延长钉。每个钉子的制造商建议在治疗完成后取出植入物。尽管需要拔除每根钉子，但作者没有发现任何先前的出版物记录了标准髓内延长钉拔除的结果。因此，本研究的目的是探讨择期髓内延长钉拔除术中及术后并发症。材料和方法:我们对在两个肢体重建中心(一个在美国，另一个在丹麦)接受髓内延长钉手术的患者进行了回顾性的图表回顾。从患者图表中检索到的数据包括患者人口统计数据、指甲信息以及拔甲时或拔甲后发生的任何并发症。仅包括使用FITBONE和PRECICE或STRYDE指甲进行下肢延长并选择性取甲的患者。结果:本研究共纳入271例选择性脱甲手术。术后并发症发生率为13%，术后并发症发生率为3%。有18例报告了术后膝关节疼痛。所有患者均通过膝关节取甲，占股骨逆行取甲的8%，胫骨取甲的7%。术后发生4例骨折，其中2例需要手术。11%的股骨切除手术和26%的胫骨切除手术出现并发症。结论及临床意义:本研究强调了对骨延长患者进行充分随访的重要性，即使是在拔钉后。它还表明，髓内钉(IMN)延长钉的推荐移除必须包括在报告使用骨延长钉的并发症的总体风险的研究中。文章出处:Frost MW, Kold S, Rahbek O，等。271根骨延长钉(FITBONE、PRECICE、STRYDE)择期拔除并发症分析。创伤肢体重建，2011;16(2):110-115。

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来源期刊

Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine

CiteScore

1.50

自引率

0.00%

发文量

期刊介绍： Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.