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ID 30972
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Author
Endo, Hirosuke
Asaumi, Koji
Mitani, Shigeru
Noda, Tomoyuki ORCID Kaken ID publons
Minagawa, Hiroshi
Tetsunaga, Tomonori
Abstract

A minimally invasive plate osteosynthesis technique using a locking compression plate (LCP) has been used widely in trauma cases. Its advantages are that the MIPO technique does not interfere with the fracture site and thus provides improved biological healing, and that the LCP has excellent angular stability. Its use in bone lengthening, however, has not been established. In such cases, it is desirable to shorten the external skeletal fixation period as much as possible. Here, the MIPO technique using an LCP was applied to femoral distraction osteogenesis in an attempt to shorten the external skeletal fixation period. For femoral lengthening, the MIPO technique was performed in 2 stages. Orthofix external fixators (Orthofix, England) were used to insert screws from the anterolateral side rather than from the lateral side of the femur for bone lengthening. When sufficient callus formation was detected postoperatively at the site of bone lengthening, and the absence of infection was ensured, limb draping was performed, including a whole external fixator, and then the MIPO technique was applied with an LCP. In 3 cases (5 limbs), the average duration of external skeletal fixation was 134days, the average external-fixation index was 24days/cm, and the average consolidation index was 22days/cm. The MIPO technique using an LCP made it possible to shorten the external skeletal fixation-wearing period in femoral lengthening.

Keywords
femoral lengthening
minimally invasive plate osteosynthesis
locking compression plate
external skeletal fixation
external-fixation index
Amo Type
Original Article
Published Date
2008-10
Publication Title
Acta Medica Okayama
Volume
volume62
Issue
issue5
Publisher
Okayama University Medical School
Start Page
333
End Page
339
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
File Version
publisher
Refereed
True
PubMed ID
Web of Science KeyUT