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Femoral lengthening in young patients:An evidence-based comparison between motorized lengthening nails and external fixation

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World Journal of Orthopedics 2021年第11期12卷 909-919页

作者： Mohamed Hafez Nicolas Nicolaou Amaka C Offiah Stephen Giles Sanjeev Madan James A Fernandes Department of Oncology and Metabolism Sheffield UniversitySheffield S102TNUnited Kingdom Department of Paedaiatric Limb Reconstruction Sheffield Children HospitalSheffield S102THUnited Kingdom Department of Radiology Sheffield Children HospitalSheffield S102THUnited Kingdom Department of Trauma and Orthopaedics Sheffield Children HospitalSheffield S102ThUnited Kingdom

BACKGROUND Femoral lengthening is a procedure of great importance in the treatment of congenital and acquired limb *** advances have led to the latest designs of fully implantable motorized intramedullary lengthening *** use of these nails has increased over the last few *** To review and critically appraise the literature comparing the outcome of femoral lengthening in children using intramedullary motorized lengthening nails to external *** Electronic databases(MEDLINE,CINAHL,EMBASE,Cochrane)were systematically searched in November 2019 for studies comparing the outcome of femoral lengthening in children using magnetic lengthening nails and external *** outcomes included amount of gained length,healing index,complications and patient reported *** Of the 452 identified studies,only two(retrospective and non-randomized)met the inclusion criteria.A total of 91 femora were *** both studies,the age of patients treated with nails ranged from 15 to 21 years compared to 9 to 15 years for patients in the external fixation *** devices achieved the target *** of adverse events was less in the nail(60%-73%)than in the external fixation(81%-100%)*** of the studies presented patient reported *** The clinical effectiveness of motorized nails is equivalent or superior to external fixation for femoral lengthening in young *** available literature is limited and does not provide evidence on patient quality of life or cost effectiveness of the interventions.

关键词： lengthening nails Motorized nails Distraction ostepgenesis lengthening

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