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Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails

OBJECTIVE: The aim of this study was to assess and compare the clinical, radiological, and functional results of patients treated with FITBONE or PRECICE nails due to deformity and length discrepancy in their lower extremities. METHODS: This retrospective cohort study included 41 patients with lengt...

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Autores principales: Safi, İsam Khalil Abdelrahman, Samadov, Farid, Kanar, Muharrem, Tüter, İsmail, Özdemir, Hacı Mustafa
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544650/
https://www.ncbi.nlm.nih.gov/pubmed/37670451
http://dx.doi.org/10.5152/j.aott.2023.23026
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author Safi, İsam Khalil Abdelrahman
Samadov, Farid
Kanar, Muharrem
Tüter, İsmail
Özdemir, Hacı Mustafa
author_facet Safi, İsam Khalil Abdelrahman
Samadov, Farid
Kanar, Muharrem
Tüter, İsmail
Özdemir, Hacı Mustafa
author_sort Safi, İsam Khalil Abdelrahman
collection PubMed
description OBJECTIVE: The aim of this study was to assess and compare the clinical, radiological, and functional results of patients treated with FITBONE or PRECICE nails due to deformity and length discrepancy in their lower extremities. METHODS: This retrospective cohort study included 41 patients with length discrepancy and deformity in their lower extremities, who underwent limb lengthening surgery with either FITBONE (group F) or PRECICE (group P) nails between 2010 and 2020. The mean postoperative follow-up period was 15.95 ± 4.75 months in group F (20 patients) and 20.48 ± 7.57 months in group P (21 patients). Lower extremity mechanical and anatomical axes were measured on x-rays preoperatively and at the end of treatment. Consolidation and distraction indexes were also calculated to assess bone healing. Lower Extremity Functional Scale test was used to evaluate functional outcomes and quality of life. RESULTS: Neither of the treatment methods caused deviations in the mechanical axes and femoral distal angles (P > .05). No statistically significant difference in consolidation and distraction indexes was found between the groups (P > .05). Postoperative complications were seen in 3 of the patients in group F and 4 of the patients from group P. There was no significant difference in Lower Extremity Functional Scale scores between groups (P = .425). CONCLUSION: This study has demonstrated that treatment with both the FITBONE and PRECICE nails resulted in improved physical and emotional functional outcomes. Both nails had similar radiographic results, complication rates, high patient compliance, and good cosmesis. Level of Evidence: Level III, Therapeutic Study.
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spelling pubmed-105446502023-10-03 Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails Safi, İsam Khalil Abdelrahman Samadov, Farid Kanar, Muharrem Tüter, İsmail Özdemir, Hacı Mustafa Acta Orthop Traumatol Turc Research Article OBJECTIVE: The aim of this study was to assess and compare the clinical, radiological, and functional results of patients treated with FITBONE or PRECICE nails due to deformity and length discrepancy in their lower extremities. METHODS: This retrospective cohort study included 41 patients with length discrepancy and deformity in their lower extremities, who underwent limb lengthening surgery with either FITBONE (group F) or PRECICE (group P) nails between 2010 and 2020. The mean postoperative follow-up period was 15.95 ± 4.75 months in group F (20 patients) and 20.48 ± 7.57 months in group P (21 patients). Lower extremity mechanical and anatomical axes were measured on x-rays preoperatively and at the end of treatment. Consolidation and distraction indexes were also calculated to assess bone healing. Lower Extremity Functional Scale test was used to evaluate functional outcomes and quality of life. RESULTS: Neither of the treatment methods caused deviations in the mechanical axes and femoral distal angles (P > .05). No statistically significant difference in consolidation and distraction indexes was found between the groups (P > .05). Postoperative complications were seen in 3 of the patients in group F and 4 of the patients from group P. There was no significant difference in Lower Extremity Functional Scale scores between groups (P = .425). CONCLUSION: This study has demonstrated that treatment with both the FITBONE and PRECICE nails resulted in improved physical and emotional functional outcomes. Both nails had similar radiographic results, complication rates, high patient compliance, and good cosmesis. Level of Evidence: Level III, Therapeutic Study. Turkish Association of Orthopaedics and Traumatology, and Turkish Society of Orthopaedics and Traumatology 2023-07-01 /pmc/articles/PMC10544650/ /pubmed/37670451 http://dx.doi.org/10.5152/j.aott.2023.23026 Text en 2023 authors https://creativecommons.org/licenses/by-nc/4.0/ Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Research Article
Safi, İsam Khalil Abdelrahman
Samadov, Farid
Kanar, Muharrem
Tüter, İsmail
Özdemir, Hacı Mustafa
Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails
title Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails
title_full Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails
title_fullStr Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails
title_full_unstemmed Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails
title_short Deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: Comparison of 2 different nails
title_sort deformity correction and limb lengthening with externally controlled motorized extendable intramedullary nails: comparison of 2 different nails
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10544650/
https://www.ncbi.nlm.nih.gov/pubmed/37670451
http://dx.doi.org/10.5152/j.aott.2023.23026
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