Does lengthening after acute correction negatively affect bone healing during distraction osteogenesis?

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dc.authorid0000-0002-5772-5630
dc.authorscopusid26967708000
dc.authorscopusid6602904476
dc.authorscopusid56911998800
dc.authorwosidKarakoyun, Özgür/AAN-9431-2020
dc.authorwosidkarakoyun, ozgur/G-9522-2013
dc.contributor.authorKarakoyun, Özgür
dc.contributor.authorKüçükkaya, Metin
dc.contributor.authorErol, Mehmet Fatih
dc.date.accessioned2022-05-11T14:36:12Z
dc.date.available2022-05-11T14:36:12Z
dc.date.issued2015
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Ortopedi ve Travmatoloji Ana Bilim Dalı
dc.description.abstractObjective: Lengthening after acute correction has a negative effect on bone healing during distraction osteogenesis. In this study, we investigated whether correcting an acute deformity prior to lengthening resulted in a negative effect on bone healing. Methods: Patients with shortened femora were assigned to 3 matched groups. Retrograde femoral nailing after distal metaphyseal-diaphyseal osteotomy was used in all cases. Group 1 (9 femora) included cases of lengthening >4 cm using intramedullary distraction devices after acute correction. Group 2 (16 femora) included pure lengthening cases of >= 4 cm using intramedullary distraction devices. Group 3 (13 femora) included cases of lengthening >= 4 cm with lengthening and the retrograde nailing method (LORN) following acute correction. Results: Healing indices and full weight-bearing times of patients were evaluated. Mean lengthening values were 6.6 (range: 4-14 cm), 5.7 (range: 4-8 cm), and 5.2 cm (range: 4-6.5 cm) in Groups 1-3, respectively, and mean radiographic consolidation index and full weight-bearing times were 31.0+/-8.2, 30.2+/-5.5, and 39.0+/-5.0 day/cm in Groups 1-3, respectively. The consolidation index was significantly better in the Groups 1 and 2 compared to that in Group 3, but no difference was detected between Groups 1 and 2. Conclusion: Acute correction had no negative effect on bone healing after distraction osteogenesis using new-generation intramedullary distraction devices. We suggest that the negative impact on healing and the prolonged consolidation index in patients undergoing LORN may be due to impaired periosteal blood supply due to fixator pins.
dc.identifier.doi10.3944/AOTT.2015.14.0275
dc.identifier.endpage409
dc.identifier.issn1017-995X
dc.identifier.issue4en_US
dc.identifier.pmid26312468
dc.identifier.scopus2-s2.0-84944675091
dc.identifier.scopusqualityQ2
dc.identifier.startpage405
dc.identifier.urihttps://doi.org/10.3944/AOTT.2015.14.0275
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8404
dc.identifier.volume49
dc.identifier.wosWOS:000360920200011
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorKarakoyun, Özgür
dc.institutionauthorKüçükkaya, Metin
dc.institutionauthorErol, Mehmet Fatih
dc.language.isoen
dc.publisherTurkish Assoc Orthopaedics Traumatology
dc.relation.ispartofActa Orthopaedica Et Traumatologica Turcica
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectDeformity correction before lengthening
dc.subjectdistraction osteogenesis
dc.subjectfitbone
dc.subjectintramedullary distraction devices
dc.subjectprecice
dc.subjectMotorized Nail
dc.subjectDeformity
dc.titleDoes lengthening after acute correction negatively affect bone healing during distraction osteogenesis?
dc.typeArticle

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