We report the results of using a combination of fixator-assisted nailing with lengthening over an intramedullary nail in patients with tibial deformity and shortening. Between 1997 and 2007, 13 tibiae in nine patients with a mean age of 25.4 years (17 to 34) were treated with a unilateral external fixator for acute correction of deformity, followed by lengthening over an intramedullary nail wit...

The breeding female or "queen" naked mole-rat has a uniquely elongated body morphology attributed to the lengthening of the lumbar vertebral column that occurs during pregnancy. It is unknown whether this vertebral growth is a continuous process, or associated only with early reproductive experience. We compared pregnancy-related bone elongation in nascent primiparous queens and established que...

Introduction The rate of lengthening has a profound impact on bone formation during distraction osteogenesis. At optimal rates of distraction, palisades of well-vascularized woven bone fill the distraction gap. However, rapid distraction leads to the formation of granulation tissue, fibrocartilage, and cysts, resulting in nonunion. Previous research has demonstrated that rapid rates of distract...

Distraction osteogenesis is a powerful technique for creating new bone during significant lengthening of the mandible without the need for bone grafting and associated donor site morbidity. The majority of clinical applications of mandibular lengthening with distraction osteogenesis techniques reported in the literature are in growing patients.1-8 For the purposes of this article, an adult pati...

The present study aims to assess the incidence of complications related to bone lengthening procedures and to identify factors that may predict these complications. We retrospectively studied 51 lengthening procedures in 39 patients (mean age 13 years) from 2001 to 2015. A circular external fixator was used in 37 procedures and a monolateral fixator in 14 procedures. Duration of distraction, fi...

conclusions we report of loss of achieved length after lengthening with a telescopic nail. weight bearing before complete consolidation of the regenerate might be a risk factor for that. thorough examination of the limb length and careful evaluation of the radiographs are required in the follow-up period. the precice nail system requires the same vigilance like the other intramedullary systems ...

OBJECTIVES To review the results of distraction osteogenesis in short-stature patients in our centre and analyse outcomes including complications. DESIGN Retrospective study. SETTING University teaching hospital, Hong Kong. PATIENTS Eight patients with short stature (three had achondroplasia, three constitutional short stature, and two hypochondroplasia) operated on for limb lengthening u...

The magnetic intramedullary lengthening nail is an innovative technology that allows for creative ways to treat difficult problems. The lengthening option has revolutionized femur fracture management with bone loss and malunion therapy. The compression version of this nail has provided a gradual method to compress nonunions and difficult fractures that may obviate the need for many current uses...

This retrospective review assesses 55 tibial nonunions with bone loss to compare union achieved with combined Ilizarov and Taylor spatial frames (I-TSF) versus a conventional circular frame with the standard Ilizarov procedure. Seventeen (31 %) of the 55 nonunions were infected. Thirty patients treated with I-TSF were compared with 25 patients treated with a conventional circular frame. In the ...

The histology and mechanics of leg lengthening by callus distraction were studied in 27 growing rabbits. Tibial diaphyses were subjected to subperiosteal osteotomy, held in a neutral position for 10 days and then slowly distracted at 0.25 mm/12 hours, using a dynamic external fixator. Radiographs showed that the gap became filled with callus having three distinct zones. Elongation appeared to o...