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

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 t...

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Autores principales: Frost, Markus W, Kold, Søren, Rahbek, Ole, Bafor, Anirejuoritse, Duncan, Molly, Iobst, Christopher A
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Jaypee Brothers Medical Publishers 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8578244/
https://www.ncbi.nlm.nih.gov/pubmed/34804227
http://dx.doi.org/10.5005/jp-journals-10080-1529
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author Frost, Markus W
Kold, Søren
Rahbek, Ole
Bafor, Anirejuoritse
Duncan, Molly
Iobst, Christopher A
author_facet Frost, Markus W
Kold, Søren
Rahbek, Ole
Bafor, Anirejuoritse
Duncan, Molly
Iobst, Christopher A
author_sort Frost, Markus W
collection PubMed
description 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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spelling pubmed-85782442021-11-19 Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE) Frost, Markus W Kold, Søren Rahbek, Ole Bafor, Anirejuoritse Duncan, Molly Iobst, Christopher A Strategies Trauma Limb Reconstr Original Article 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. Jaypee Brothers Medical Publishers 2021 /pmc/articles/PMC8578244/ /pubmed/34804227 http://dx.doi.org/10.5005/jp-journals-10080-1529 Text en Copyright © 2021; Jaypee Brothers Medical Publishers (P) Ltd. https://creativecommons.org/licenses/by-nc-sa/4.0/© Jaypee Brothers Medical Publishers. 2021 Open Access This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-share alike license (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted distribution, and non-commercial reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. If you remix, transform, or build upon the material, you must distribute your contributions under the same license as original. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated.
spellingShingle Original Article
Frost, Markus W
Kold, Søren
Rahbek, Ole
Bafor, Anirejuoritse
Duncan, Molly
Iobst, Christopher A
Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE)
title Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE)
title_full Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE)
title_fullStr Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE)
title_full_unstemmed Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE)
title_short Complications in Elective Removal of 271 Bone Lengthening Nails (FITBONE, PRECICE and STRYDE)
title_sort complications in elective removal of 271 bone lengthening nails (fitbone, precice and stryde)
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8578244/
https://www.ncbi.nlm.nih.gov/pubmed/34804227
http://dx.doi.org/10.5005/jp-journals-10080-1529
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