Table 6.
Study | Type of study | Number of limbs | Accuracy of lengthening | Mean amount lengthened | Complications (number of events) |
---|---|---|---|---|---|
Paley et al. [30] | Retrospective | 65 total 54 femoral 2 fibula 8 tibial 1 humerus |
88.2%a | 44.1 mm | 26 total 3 nail breakages 1 premature consolidation 2 operator errors 4 dense regenerate 2 prominent hardwares 1 periprosthetic fracture 2 deep infection 3 failed regenerate 1 hematoma evacuation 3 soft tissue contractures 1 superficial infection 1 deep vein thrombosis 2 joint subluxations |
Shabtai et al. [35] | Prospective | 21 total 16 femoral 5 tibial |
100%a | 44 mm | 7 total 4 delayed bone healing 1 hip contracture 1 hip subluxation 1 knee subluxation |
Kirane et al. [19] | Retrospective | 25 total 17 femoral 8 tibial |
96%b | 35 mm | 7 total 1 implant failure 1 premature consolidation 2 delayed bone healing 2 delayed equinus contractures 1 toe clawing |
Schiedel et al. [34] | Prospective | 26 total 20 femoral 6 tibial |
97%a | 37 mm | 4 total 2 nail breakages 1 nail failed to function 1 premature consolidation |
aAccuracy measured after total lengthening; accuracy = lengthening achieved/desired lengthening
bMeasured accuracy of distraction at each postoperative visit; accuracy = 100—absolute % error of distraction