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Original Article

Lengthening of the tibia over an intramedullary nail, using the llizarov external fixator: Major complications and slow consolidation in 9 lengthenings

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Pages 271-274 | Received 12 Aug 1998, Accepted 06 Mar 1999, Published online: 08 Jul 2009

Keep up to date with the latest research on this topic with citation updates for this article.

Read on this site (4)

Arnold Popkov, Patrick Foster, Alexander Gubin, Dmitry Borzunov & Dmitry Popkov. (2017) The use of flexible intramedullary nails in limb lengthening. Expert Review of Medical Devices 14:9, pages 741-753.
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Hae-Ryong Song, Soma VVJ Raju, Satish Kumar, Seok-Hyun Lee, Seung-Woo Suh, Jung-Ryul Kim & Jun-Seok Hong. (2006) Deformity correction by external fixation and/or intramedullary nailing in hypophosphatemic rickets. Acta Orthopaedica 77:2, pages 307-314.
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Hae-ryong Song, Valencia Myrboh, Chang-wug Oh, Sung-tae Lee & Suk-ha Lee. (2005) Tibial lengthening and concomitant foot deformity correction in 14 patients with permanent deformity after poliomyelitis. Acta Orthopaedica 76:2, pages 261-269.
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Hae-Ryong Song, Chang-Wug Oh, Rakesh Mattoo, Byung-Chul Park, Sung-Jung Kim, Il-Hyung Park, In-Ho Jeon & Joo-Chul Ihn. (2005) Femoral lengthening over an intramedullary nail using the external fixator. Acta Orthopaedica 76:2, pages 245-252.
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Articles from other publishers (68)

Bom Bahadur Kunwar, Vikas Maheshwari, Mohit Dhingra, Saroj bhagat, Chanakya PV & Sunit Vardhan. (2023) Use of locked plates and mono-rail fixator in segmental tibial defects: A prospective interventional study. Journal of Orthopaedics 44, pages 47-52.
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Kuei-Yu Liu, Kuan-Wen Wu, Chia-Che Lee, Sheng-Chieh Lin, Ken N. Kuo & Ting-Ming Wang. (2022) Tibial Lengthening along Submuscular Plate with Simultaneous Acute Tibial Deformity Correction by High-Energy Osteotomy: A Comparative Study. Journal of Clinical Medicine 11:18, pages 5478.
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Peter Calder, David Goodier, Jonathan Wright, Ahmed A Elsheikh & Michael T Stoddart. (2022) Use of the Pixel Value Ratio Following Intramedullary Limb Lengthening: Uncomplicated Full Weight-bearing at Lower Threshold Values. Strategies in Trauma and Limb Reconstruction 17:1, pages 14-18.
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Hyungtae Kim & Yong-Woon Shin. (2022) Treatment of Infected Nonunion of the Tibia and Femur Shaft Fractures with Classical Internal Bone Transport. Journal of the Korean Orthopaedic Association 57:5, pages 400.
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Szymon Pietrzak, Dariusz Grzelecki, Tomasz Parol & Jarosław Czubak. (2021) Comparison of Intramedullary Magnetic Nail, Monolateral External Distractor, and Spatial External Fixator in Femur Lengthening in Adolescents with Congenital Diseases. Journal of Clinical Medicine 10:24, pages 5957.
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E. A. Shchepkina, I. V. Lebedkov, L. N. Solomin, K. L. Korchagin, F. K. Sabirov & D. G. Parfeev. (2021) Lower limbs lengthening over the intramedullary nail versus lengthening by Ilizarov technique. The Scientific Notes of the Pavlov University 28:1, pages 40-51.
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E. A. Shchepkina, I. V. Lebedkov, G. I. Netylko, L. N. Solomin, L. O. Anisimova, V. V. Trushnikov & I. V. Sushkov. (2021) Distraction Osteogenesis in the Combined and Sequential Use of Transosseous and Intramedullary Osteosynthesis: Experimental Study. Traumatology and Orthopedics of Russia 27:1, pages 19-36.
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Roberto C. Hernández-Irizarry & Stephen M. Quinnan. 2020. Essential Biomechanics for Orthopedic Trauma. Essential Biomechanics for Orthopedic Trauma 93 106 .
T.F. Raven, A. Moghaddam, C. Ermisch, F. Westhauser, R. Heller, T. Bruckner & G. Schmidmaier. (2019) Use of Masquelet technique in treatment of septic and atrophic fracture nonunion. Injury 50, pages 40-54.
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S. GuptaA. MalhotraN. MittalS. K. GargR. JindalR. Kansay. (2018) The management of infected nonunion of tibia with a segmental defect using simultaneous fixation with a monorail fixator and a locked plate. The Bone & Joint Journal 100-B:8, pages 1094-1099.
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K. DavdaN. HeidariP. CalderD. Goodier. (2018) ‘Rail and Nail’ bifocal management of atrophic femoral nonunion. The Bone & Joint Journal 100-B:5, pages 634-639.
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Andrew G. Georgiadis, Jeffrey K. Rossow, Jennifer C. Laine, Christopher A. Iobst & Mark T. Dahl. (2017) Plate-assisted Lengthening of the Femur and Tibia in Pediatric Patients. Journal of Pediatric Orthopaedics 37:7, pages 473-478.
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Stephen Matthew Quinnan & Charles Lawrie. (2017) Optimizing Bone Defect Reconstruction—Balanced Cable Transport With Circular External Fixation. Journal of Orthopaedic Trauma 31:10, pages e347-e355.
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Stephen M. Quinnan. (2017) Segmental Bone Loss Reconstruction Using Ring Fixation. Journal of Orthopaedic Trauma 31:5, pages S42-S46.
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Sandeep Shrivastava, Sohael M Khan, Romil Rathi, Gaurav Mundada, Pradeep K Singh & Shounak Taywade. (2017) Study on Outcome of Complex Lower Limb Problems treated by Ring External Fixator and Evolvement of Practices toward its Acceptability. The Journal of Medical Sciences 3:2, pages 35-40.
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Peter R. Calder, Maritz Laubscher & W. David Goodier. (2017) The role of the intramedullary implant in limb lengthening. Injury 48, pages S52-S58.
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Wei-guo Xu. (2017) Comparison of Intramedullary Nail Versus Conventional Ilizarov Method for Lower Limb Lengthening: A Systematic Review and Meta-Analysis. Orthopaedic Surgery 9:2, pages 159-166.
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Dmitry Popkov, Pierre Lascombes, Pierre Journeau & Arnold Popkov. (2016) Current approaches to flexible intramedullary nailing for bone lengthening in children. Journal of Children's Orthopaedics 10:6, pages 499-509.
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Hemendra Kumar Agrawal, Mohit Garg, Balvinder Singh, Ashish Jaiman, Vipin Khatkar, Shailender Khare, Sumit Batra & Vinod Kumar Sharma. (2016) Management of complex femoral nonunion with monorail external fixator: A prospective study. Journal of Clinical Orthopaedics and Trauma 7, pages 191-200.
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R. D. Burghardt, A. Manzotti, A. Bhave, D. Paley & J. E. Herzenberg. (2016) Tibial lengthening over intramedullary nails. Bone & Joint Research 5:1, pages 1-10.
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Mitchell Bernstein, Austin T. Fragomen, Samir Sabharwal, Jonathan Barclay & S. Robert Rozbruch. (2015) Does Integrated Fixation Provide Benefit in the Reconstruction of Posttraumatic Tibial Bone Defects?. Clinical Orthopaedics and Related Research® 473:10, pages 3143-3153.
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S. Nicol, M. Jackson & F. Monsell. (2015) Recent advances in external fixation. Bone & Joint 360 4:4, pages 2-7.
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Chang-Wug Oh, Seung-Gil Baek, Joon-Woo Kim & Jeong-Woo Kim. (2015) Tibial lengthening with a submuscular plate in adolescents. Journal of Orthopaedic Science 20:1, pages 101-109.
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Dong Hoon Lee, Keun Jung Ryu, Sang Heon Song, Kwang Won Park & Hae Ryong Song. (2013) Clinical implication of sagittal translation in lengthening over nail of tibia. European Journal of Orthopaedic Surgery & Traumatology 24:8, pages 1579-1585.
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Nader Motallebi Zadeh, Seyedeh Hamideh Mortazavi, Siavash Khaki, Kazem Heidari, Ashraf Karbasi & Sedigheh Ostad Rahimi. (2014) Bilateral tibial lengthening over the nail: our experience of 143 cases. Archives of Orthopaedic and Trauma Surgery 134:9, pages 1219-1225.
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Abhay Elhence, Divesh Jalan & Harish Talreja. (2013) Comment on Lan et al.: S-osteotomy with lengthening and then nailing compared with traditional Ilizarov method. International Orthopaedics 38:3, pages 677-677.
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Sang-Heon Song, Hanna Lee, Ji-Min Jeong, Woo-In Cho, Sung Eun Kim & Hae-Ryong Song. (2014) The Significance of Serum Phosphate Level on Healing Index and Its Relative Effects in Skeletally Immature and Mature Patients with Hypophosphatemic Rickets. BioMed Research International 2014, pages 1-7.
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C-W. OhT. ApivatthakakulJ-K. OhJ-W. KimH-J. LeeH-S. KyungS-G. BaekG-H. Jung. (2013) Bone transport with an external fixator and a locking plate for segmental tibial defects. The Bone & Joint Journal 95-B:12, pages 1667-1672.
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Xia Lan, Lihai Zhang, Peifu Tang, Hetao Xia, Gang Li, Aiming Peng, Yilian Han, Bangtuo Yuan & Wenpeng Xu. (2013) S-osteotomy with lengthening and then nailing compared with traditional Ilizarov method. International Orthopaedics 37:10, pages 1995-2000.
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Khaled M. Emara, Mahmoud A. Mahran, Nabil A. M. Ghaly, Timour F. EL-Husseini & Mohamed Ahmed Al Kersh. (2013) Comparison between lengthening over nail and conventional Ilizarov lengthening: a prospective randomized clinical study. Strategies in Trauma and Limb Reconstruction 8:2, pages 97-101.
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Jun Wan, Lin Ling, Xiang-sheng Zhang & Zhi-hong Li. (2012) Femoral bone transport by a monolateral external fixator with or without the use of intramedullary nail: a single-department retrospective study. European Journal of Orthopaedic Surgery & Traumatology 23:4, pages 457-464.
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T. Monni, F. F. Birkholtz, P. de Lange & C. H. Snyckers. (2013) Conversion of external fixation to internal fixation in a non-acute, reconstructive setting: a case series. Strategies in Trauma and Limb Reconstruction 8:1, pages 25-30.
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S. Jain & P. Harwood. (2012) Does the use of an intramedullary nail alter the duration of external fixation and rate of consolidation in tibial lengthening procedures? A systematic review. Strategies in Trauma and Limb Reconstruction 7:3, pages 113-121.
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Kemble Wang & Elton Edwards. (2012) Intramedullary Skeletal Kinetic Distractor in the Treatment of Leg Length Discrepancy—A Review of 16 Cases and Analysis of Complications. Journal of Orthopaedic Trauma 26:9, pages e138-e144.
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Carol C. Hasler & Andreas H. Krieg. (2012) Current concepts of leg lengthening. Journal of Children's Orthopaedics 6:2, pages 89-104.
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Mohammed J. AL-Sayyad. (2012) Lower limb lengthening and deformity correction using the Fitbone motorized nail system in the adolescent patient. Journal of Pediatric Orthopaedics B 21:2, pages 131-136.
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Seung-Ju Kim, Agashe Mandar, Sang-Heon Song & Hae-Ryong Song. (2011) Pitfalls of lengthening over an intramedullary nail in tibia: a consecutive case series. Archives of Orthopaedic and Trauma Surgery 132:2, pages 185-191.
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Nishant Singh, Milind Kulkarni, Vidisha Kulkarni, Ruta Kulkarni, GovindS Kulkarni & Sunil Kulkarni. (2012) Limb lengthening over plate. Indian Journal of Orthopaedics 46:3, pages 339.
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Qianchen Guo, Tao Zhang, Yongfa Zheng, Shiqing Feng, Xinlong Ma & Feng Zhao. (2011) Tibial lengthening over an intramedullary nail in patients with short stature or leg-length discrepancy: a comparative study. International Orthopaedics 36:1, pages 179-184.
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X.-T. SunT. R. EaswarS. ManeshJ.-H. RyuS.-H. SongS.-J. KimH.-R. Song. (2011) Complications and outcome of tibial lengthening using the Ilizarov method with or without a supplementary intramedullary nail. The Journal of Bone and Joint Surgery. British volume 93-B:6, pages 782-787.
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Sanjeev Sabharwal. (2011) Enhancement of Bone Formation During Distraction Osteogenesis: Pediatric Applications. American Academy of Orthopaedic Surgeon 19:2, pages 101-111.
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Dmitry Popkov, Arnold Popkov, Thierry Haumont, Pierre Journeau & Pierre Lascombes. (2010) Flexible Intramedullary Nail Use in Limb Lengthening. Journal of Pediatric Orthopaedics 30:8, pages 910-918.
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Mark Brian Stephen Brewster, Cyril Mauffrey, Andrew C. Lewis & Peter Hull. (2009) Lower limb lengthening: is there a difference in the lengthening index and infection rates of lengthening with external fixators, external fixators with intramedullary nails or intramedullary nailing alone? A systematic review of the literature. European Journal of Orthopaedic Surgery & Traumatology 20:2, pages 103-108.
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F. E. BilenM. KocaogluL. EralpH. I. Balci. (2010) Fixator-assisted nailing and consecutive lengthening over an intramedullary nail for the correction of tibial deformity. The Journal of Bone and Joint Surgery. British volume 92-B:1, pages 146-152.
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Huy`nh Bá Lĩnh & Robert J. Feibel. (2009) Tibial Lengthening Over an Intramedullary Nail. Techniques in Orthopaedics 24:4, pages 279-288.
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Li Zhao, Qing Fan, K. P. Venkatesh, Man S. Park & Hae Ryong Song. (2009) Objective Guidelines for Removing an External Fixator after Tibial Lengthening Using Pixel Value Ratio: A Pilot Study. Clinical Orthopaedics and Related Research® 467:12, pages 3321-3326.
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C.-W. OhH.-R. SongJ.-W. KimJ.-W. ChoiW.-K. MinB.-C. Park. (2009) Limb lengthening with a submuscular locking plate. The Journal of Bone and Joint Surgery. British volume 91-B:10, pages 1394-1399.
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Hayoung Kim, Sang Ki Lee, Kap Jung Kim, Jae Hoon Ahn, Won Sik Choy, Yong In Kim & Jea Yun Koo. (2008) Tibial lengthening using a reamed type intramedullary nail and an Ilizarov external fixator. International Orthopaedics 33:3, pages 835-841.
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Hui Wan Park, Kyu Hyun Yang, Ki Seok Lee, Sun Young Joo, Yoon Hae Kwak & Hyun Woo Kim. (2008) Tibial Lengthening Over an Intramedullary Nail with Use of the Ilizarov External Fixator for Idiopathic Short Stature. The Journal of Bone and Joint Surgery-American Volume 90:9, pages 1970-1978.
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Khaled M. Emara & Mohamed Farouk Allam. (2008) Ilizarov External Fixation and Then Nailing in Management of Infected Nonunions of the Tibial Shaft. The Journal of Trauma: Injury, Infection, and Critical Care 65:3, pages 685-691.
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Chang-Wug Oh, Gautam M. Shetty, Hae-Ryong Song, Hee-Soo Kyung, Jong-Keon Oh, Woo-Kie Min, Byung-Woo Lee & Byung-Chul Park. (2008) Submuscular plating after distraction osteogenesis in children. Journal of Pediatric Orthopaedics B 17:5, pages 265-269.
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Chang-Wug Oh, Hae-Ryong Song, Jae-Young Roh, Jong-Keon Oh, Woo-Kie Min, Hee-Soo Kyung, Joon-Woo Kim, Poong-Taek Kim & Joo-Chul Ihn. (2007) Bone transport over an intramedullary nail for reconstruction of long bone defects in tibia. Archives of Orthopaedic and Trauma Surgery 128:8, pages 801-808.
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Khaled M. Emara & Ahmed Khames. (2007) Functional outcome after lengthening with and without deformity correction in polio patients. International Orthopaedics 32:3, pages 403-407.
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