Bone transport with magnetic intramedullary nails in long bone defects.
Bone loss
Bone transport
Femur
Magnetic nail
Journal
European journal of orthopaedic surgery & traumatology : orthopedie traumatologie
ISSN: 1432-1068
Titre abrégé: Eur J Orthop Surg Traumatol
Pays: France
ID NLM: 9518037
Informations de publication
Date de publication:
Aug 2021
Aug 2021
Historique:
received:
16
10
2020
accepted:
14
12
2020
pubmed:
29
12
2020
medline:
19
8
2021
entrez:
28
12
2020
Statut:
ppublish
Résumé
This study describes the outcomes of internal bone transport with magnetic nails in five cases of traumatic segmental femoral bone defects. Five patients with open fracture of the femur and diaphyseal bone loss were included between May 2018 and August 2020. The mean femoral defect was 8.7 cm (range 5.6-16.0). We used plate-assisted bone segment transport (PABST) with PRECICE magnetic nails. All five patients have fully consolidated. The mean consolidation time and index were 7.5 months and 0.8 mo/cm, respectively. The mean follow-up was 21.3 months. The main complications were reduced knee ROM, mild varus deformity and plate bending. Post-operative SF-36, Oxford Knee scores and ED-5Q-5L scores were also compiled for four of five patients. SF-36 and Oxford Knee scores were reported without pre-injury data for comparison. ED-5Q-5L index and VAS were compared UK population norm and were both found to be statistically insignificant (p = 0.071 and p = 0.068, respectively). Bone transport with magnetic nails has the capacity to obtain good functional recovery in long bone defects despite variable outcome pictures. In response to variable outcome reporting in the literature, we propose a standard reporting template for future studies to facilitate more rigorous analyses.
Sections du résumé
BACKGROUND
BACKGROUND
This study describes the outcomes of internal bone transport with magnetic nails in five cases of traumatic segmental femoral bone defects.
METHODS
METHODS
Five patients with open fracture of the femur and diaphyseal bone loss were included between May 2018 and August 2020. The mean femoral defect was 8.7 cm (range 5.6-16.0).
INTERVENTION
METHODS
We used plate-assisted bone segment transport (PABST) with PRECICE magnetic nails.
RESULTS
RESULTS
All five patients have fully consolidated. The mean consolidation time and index were 7.5 months and 0.8 mo/cm, respectively. The mean follow-up was 21.3 months. The main complications were reduced knee ROM, mild varus deformity and plate bending. Post-operative SF-36, Oxford Knee scores and ED-5Q-5L scores were also compiled for four of five patients. SF-36 and Oxford Knee scores were reported without pre-injury data for comparison. ED-5Q-5L index and VAS were compared UK population norm and were both found to be statistically insignificant (p = 0.071 and p = 0.068, respectively).
CONCLUSION
CONCLUSIONS
Bone transport with magnetic nails has the capacity to obtain good functional recovery in long bone defects despite variable outcome pictures. In response to variable outcome reporting in the literature, we propose a standard reporting template for future studies to facilitate more rigorous analyses.
Identifiants
pubmed: 33367945
doi: 10.1007/s00590-020-02854-5
pii: 10.1007/s00590-020-02854-5
pmc: PMC7759217
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
1243-1252Informations de copyright
© 2020. The Author(s).
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