Humerus Lengthening with a Motorized Intramedullary Nail: A Systematic Review of Outcomes and Complications.

IF 1 Q3 ORTHOPEDICS Strategies in Trauma and Limb Reconstruction Pub Date : 2022-09-01 DOI:10.5005/jp-journals-10080-1568

Justin-Pierre Lorange, Nawaf Alamiri, Yousef Marwan, Abdullah Alshammari, Reggie Charles Hamdy, Mitchell Bernstein

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引用次数: 1

Abstract

Aim: In the past decade, internal limb lengthening nails have gained popularity. In this study, we aim to systematically review the literature on humerus limb lengthening with a motorized intramedullary nail (MIN). We intend to assess the outcome and complications of this technique.

Materials and methods: A systematic review was performed in the following databases: PubMed, Embase, Web of Science, and the Journal of Limb Lengthening and Reconstruction. The inclusion criteria included limb lengthening of the humerus using an intramedullary nail, clinical studies, all levels of evidence, and no restriction to the date of publication.

Results: Our search yielded 239 journal articles. A total of nine articles remained relevant based on the inclusion and exclusion criteria. The total number of patients was 20, with 22 segments lengthened. The mean age of the patients was 20.8-year-old [standard deviation (SD), 12.0; range, 13-51]. The mean gained length was 5.7 cm (SD, 0.9; range, 5-7.5) with a mean distraction protocol of 0.82 mm/day (SD, 0.2; range, 0.6-1). The average duration of lengthening was 71.6 days (SD, 12.8; range, 50-93), and the mean duration of consolidation was 192.3 days (SD, 40.5; range, 120-228). Reported complications included a range of motion (ROM) limitation, hardware failure, and hypertrophic bone regeneration.

Conclusion: Humeral lengthening with an MIN provides favourable outcomes with low complication rates. Future high-level studies should focus on comparing long-term outcomes of humeral lengthening utilising internal and external fixation techniques.

Clinical significance: Humeral lengthening using MIN can be used safely. Each surgical approach and type of nail have different risks and benefits. These should be carefully discussed when planning the surgery.

How to cite this article: Lorange JP, Alamiri N, Marwan Y, et al. Humerus Lengthening with a Motorized Intramedullary Nail: A Systematic Review of Outcomes and Complications. Strategies Trauma Limb Reconstr 2022;17(3):165-171.

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动力髓内钉延长肱骨：疗效和并发症的系统评价。

目的：在过去的十年里，内肢延长指甲越来越受欢迎。在这项研究中，我们的目的是系统地回顾用电动髓内钉（MIN）延长肱骨肢体的文献。我们打算评估这项技术的结果和并发症。材料和方法：在以下数据库中进行了系统综述：PubMed、Embase、Web of Science和Journal of Limb Lengthening and Reconstruction。纳入标准包括使用髓内钉延长肱骨肢体、临床研究、所有级别的证据，并且对发表日期没有限制。结果：我们搜索了239篇期刊文章。根据纳入和排除标准，共有9篇文章仍然具有相关性。患者总数为20人，其中22个节段延长。患者的平均年龄为20.8岁[标准差（SD）为12.0；范围为13-51]。平均增加长度为5.7 cm（SD，0.9；范围5-7.5），平均牵张方案为0.82 mm/天（SD，0.2；范围0.6-1）。平均延长持续时间为71.6天（SD12.8；范围50-93），平均巩固持续时间为192.3天（SD40.5；范围120-228）。报告的并发症包括活动范围（ROM）限制、硬件故障和肥大性骨再生。结论：MIN肱骨延长术疗效好，并发症发生率低。未来的高水平研究应侧重于比较使用内外固定技术的肱骨延长的长期结果。临床意义：MIN延长术可以安全使用。每种手术方法和指甲类型都有不同的风险和益处。在计划手术时应仔细讨论这些问题。如何引用这篇文章：Lorange JP，Alamiri N，Marwan Y等。动力髓内钉延长肱骨：结果和并发症的系统评价。创伤肢体康复策略2022；17（3）:165-171。

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来源期刊

Strategies in Trauma and Limb Reconstruction Medicine-Orthopedics and Sports Medicine

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1.50

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期刊介绍： Strategies in Trauma and Limb Reconstruction is dedicated to surgeons, allied medical professionals and researchers in the field of orthopaedics and trauma. The scope of the journal is to discuss the fields of skeletal injury, and the complications thereof, congenital and acquired limb deformities and deficiencies, and orthopaedic-related infection, together with their surgical and non-surgical treatments. The journal publishes original articles, reviews, case reports, descriptions of new or recognised treatment techniques, forum discussions of clinical scenarios and relevant correspondence. It aims to provide a widely accessible source of useful information to practitioners in the field through the problem- or technique-based approach of published articles.