Case: A 27-year-old woman with a Grade II chondrosarcoma in the right acetabulum underwent a Type II internal hemipelvectomy with an ischiofemoral fusion. She developed a 7.0-cm functional limb-length discrepancy with adduction of the hip at rest. Four years after surgery, she underwent a corrective osteotomy and limb lengthening with a magnetic lengthening nail. Eleven years after tumor resection and a successful pregnancy, she had symmetric leg lengths and ambulated without an assistive device.
Conclusions: A magnetic lengthening nail is a viable option for correcting limb-length discrepancies after hemipelvectomy. If necessary, a simultaneous corrective proximal femoral osteotomy can be performed.
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http://dx.doi.org/10.2106/JBJS.CC.22.00069 | DOI Listing |
Rev Esp Cir Ortop Traumatol
January 2025
Servicio de Cirugía Ortopédica y Traumatología. Hospital Infantil Universitario Niño Jesús, Madrid, Spain.
Introduction: The short stature characteristic of patients with achondroplasia can negatively affect health-related quality of life (HRQoL). Lower limb lengthening reusing telescopic intramedullary nails (TIMNs) offers an alternative to external fixators, with the potential to enhance functionality, self-esteem, and HRQoL, while reducing complication risks, which this study aims to evaluate.
Materials And Methods: This retrospective study included nine patients with achondroplasia who underwent parallel transverse lengthening of femurs and/or tibias reusing a TIMN between 2015 and 2022.
Purpose: Previous studies have shown that subtrochanteric femoral fractures treated with intramedullary nails might lead to varus-procurvatum malalignment. Similar results have been reported when using antegrade intramedullary lengthening nails (ILNs). The purpose of our study is to examine if antegrade telescoping intramedullary lengthening nails lead to varus-procurvatum malalignment of the proximal femur and what are possible predictors of that shift.
View Article and Find Full Text PDFJ Pediatr Orthop
November 2024
Department of Orthopaedics and Rehabilitation, Yale School of Medicine, New Haven, CT.
Introduction: Pediatric supracondylar humerus fractures are common and the most frequent pediatric fracture to require surgical intervention. After initial management, emergency department (ED) visits subsequent to this injury/surgery are not well characterized, but are of clinical interest.
Methods: Pediatric patients (age >1 y old and <13 y old) with supracondylar humerus fractures were identified from the 2010 to 2021 PearlDiver M157 administrative database.
J Clin Med
December 2024
Department of Physical Therapy, Zefat Academic College, Zefat 13206, Israel.
Hip muscle lengthening is commonly associated with the normal function of the lumbar spine and lower extremities. Some evidence correlates hamstring and iliopsoas tightness with low back pain (LBP). Undergraduates are more prone to LBP as they are involved in prolonged sitting and poor posture.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!