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Preliminary experience with motorized distraction for tibial lengthening |
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| Authors: | Adam S. Bright John E. Herzenberg Dror Paley Ian Weiner Rolf D. Burghardt |
| Affiliation: | 1. 1950 Arlington Street, #111, Sarasota, FL, 34242, USA 2. International Center for Limb Lengthening, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, Baltimore, MD, 21215, USA 3. Paley Advanced Limb Lengthening Institute, 901 45th Street; Kimmel Building, West Palm Beach, FL, 33407, USA 4. 2700 Quarry Lake Drive Suite 300, Baltimore, MD, 21209, USA 5. Orthopaedic Department, Helios-Endo Klinik Hamburg, Hamburg, Germany |
| Abstract: | Limb lengthening by callus distraction is commonly performed with the use of external fixation. Lengthening is routinely performed by the patient through small increments throughout the course of a day. Ilizarov has shown that both the rate and frequency of distraction are important factors in the quality of osteogenesis. We report the effect of motorized high frequency distraction for tibial lengthening in comparison with manual low-frequency distraction at the same rate. Manual distraction (0.25 mm four times a day) in a group containing 43 tibiae was compared with motorized distraction (1/1,440 mm 1,400 times a day) in a group containing 27 tibiae. There was no significant difference in time to union or in the incidence of complications. |
| Keywords: | Bone lengthening Limb length discrepancy Ilizarov External fixator Motorized distraction Distraction osteogenesis Tibia |
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