First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant
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...
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Case Reports in Orthopedics |
| Online Access: | http://dx.doi.org/10.1155/2023/7547590 |
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| author | Arnold Popkov Sergei Tverdokhlebov Sergei Muradisinov Dmitry Popkov |
| author_facet | Arnold Popkov Sergei Tverdokhlebov Sergei Muradisinov Dmitry Popkov |
| author_sort | Arnold Popkov |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-4ac0cb7f8b724298b80e2bd8fe4c9fc2 |
| institution | Kabale University |
| issn | 2090-6757 |
| language | English |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Orthopedics |
| spelling | doaj-art-4ac0cb7f8b724298b80e2bd8fe4c9fc22025-02-03T01:32:19ZengWileyCase Reports in Orthopedics2090-67572023-01-01202310.1155/2023/7547590First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary ImplantArnold Popkov0Sergei Tverdokhlebov1Sergei Muradisinov2Dmitry Popkov3Russian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsTomsk Polytechnic UniversityRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsRussian Ilizarov Scientific Center for Restorative Traumatology and OrthopaedicsIntroduction. 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.http://dx.doi.org/10.1155/2023/7547590 |
| spellingShingle | Arnold Popkov Sergei Tverdokhlebov Sergei Muradisinov Dmitry Popkov First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant Case Reports in Orthopedics |
| title | First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant |
| title_full | First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant |
| title_fullStr | First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant |
| title_full_unstemmed | First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant |
| title_short | First Clinical Case of Ilizarov Femur Lengthening over a Bioactive and Degradable Intramedullary Implant |
| title_sort | first clinical case of ilizarov femur lengthening over a bioactive and degradable intramedullary implant |
| url | http://dx.doi.org/10.1155/2023/7547590 |
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