Total hip arthroplasty and femoral nail lengthening for hip dysplasia and limb-length discrepancy

The application of distraction osteogenesis through the use of magnet-operated, remote-controlled intramedullary lengthening continues to provide new opportunities for accurate limb equalization. While limb-length discrepancy and deformity can be addressed by total hip arthroplasty alone, the magnit...

Full description

Saved in:
Bibliographic Details
Published inArthroplasty today Vol. 4; no. 3; pp. 279 - 286
Main Authors Harkin, Elizabeth, Rozbruch, S. Robert, Liskutin, Tomas, Hopkinson, William, Bernstein, Mitchell
Format Journal Article
LanguageEnglish
Published United States Elsevier Inc 01.09.2018
Elsevier
Subjects
Case Report
Deformity
Limb lengthening
Limb-length discrepancy
PRECICE
Total hip arthroplasty
PRECICE
Limb-length discrepancy
Deformity
Limb lengthening
Total hip arthroplasty
Online AccessGet full text

Cover

More Information
Summary:The application of distraction osteogenesis through the use of magnet-operated, remote-controlled intramedullary lengthening continues to provide new opportunities for accurate limb equalization. While limb-length discrepancy and deformity can be addressed by total hip arthroplasty alone, the magnitude of correction is limited by the soft-tissue envelope and complications such as sciatic nerve palsy. This 3-patient case series presents the combination of staged ipsilateral total hip arthroplasty and retrograde intramedullary femoral nail lengthening for the correction of both deformity and limb-length discrepancy. Our results report leg-length equalization, independent ambulation without assistive devices, and excellent bone and functional outcomes without complications, demonstrating that this combined technique can be used to achieve targeted lengthening and deformity correction.
ISSN:2352-3441
2352-3441
DOI:10.1016/j.artd.2018.03.001