First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant

First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant

Bibliographic Details
Parent link:Case Reports in Orthopedics.— .— New York: Hindawi Publishing Corporation
Vol. 2023.— 2023.— Article number 7547590, 9 p.
Corporate Author: National Research Tomsk Polytechnic University (570)
Other Authors: Popkov A. V. Arnold Vasiljevich, Tverdokhlebov S. I. Sergei Ivanovich, Muradisinov S. Sergei, Popkov D. A. Dmitry Arnoldovich
Summary:Title screen
Introduction. The Ilizarov distraction osteogenesis is a recognized method of limb lengthening in orthopaedic practice. Its most challenging problems are long duration of external fixation and related pin-tract infection and joint contractures. The solution might be the use of a bioactive degradable intramedullary implant stimulating bone healing. Case Presentation. We present a case of a 14-year-old boy with 6 cm posttraumatic shortening of the femur and associated varus deformity of 20 degrees. He was treated with the Ilizarov technique of femur lengthening over an intramedullary degradable polycaprolactone (PCL) implant with hydroxyapatite (HA) filling. We faced no complications within the lengthening process. Shortening and deformity of the femur were corrected in 90 days. The index of external fixation was 15 days/cm. External fixation time was reduced almost twice comparing to the conventional method. Degradable intramedullary nails ensured the advantage of avoidance of the removal procedure. Radiography and CT confirmed faster new bone healing and remodeling. Conclusion. The combined lengthening technique over a PCL/HA implant might be used to shorten external fixation time and to stimulate bone healing especially in patients with compromised bone. Using a bioabsorbable material presents the benefit of eliminating the need for a second surgery to remove the nail, thereby reducing soft tissue damage
Текстовый файл
Language:English
Published: 2023
Subjects:
электронный ресурс
труды учёных ТПУ
distraction osteogenesis
bioactive degradable intramedullary implant
deformity of the femur
Online Access:https://doi.org/10.1155/2023/7547590
Format: Electronic Book Chapter
KOHA link:https://koha.lib.tpu.ru/cgi-bin/koha/opac-detail.pl?biblionumber=675862

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