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Femoral lengthening and deformity correction using the Fitbone motorized lengthening nail.
[achondroplasia]
This
study
reports
our
results
with
retrograde
Fitbone
insertion
in
patients
with
femoral
shortening
and
deformity
.
We
also
present
our
experience
regarding
the
benefits
,
complications
,
and
factors
associated
with
complications
of
the
Fitbone
technique
.
Twelve
males
and
ten
females
had
femoral
shortening
and
deformities
treated
using
the
retrograde
Fitbone
technique
between
2009
and
2012
.
The
etiologies
were
post-traumatic
in
12
patients
,
poliomyelitis
in
four
,
cosmetic
in
two
,
congenital
hypoplasia
in
two
,
achondroplasia
in
one
,
and
Perthes
sequela
in
one
.
The
follow-up
time
was
30
.
8
Â
months
.
The
mean
lengthening
was
5
.
8
(
range
2
-
14
)
cm
.
The
degree
of
acute
angular
correction
was
9
°
(
5
-
22
°
)
in
nine
cases
.
The
time
to
full
weight-bearing
was
5
.
9
Â
months
.
The
consolidation
index
was
1
.
07
(
0
.
75
-
1
.
62
)
months
/
cm
.
Complete
consolidation
was
obtained
in
all
cases
except
two
.
Running
back
was
observed
in
two
cases
.
The
Fitbone
technique
allows
accurate
deformity
correction
.
The
rigid
reamers
allow
the
surgeon
to
use
the
Fitbone
even
in
patients
with
a
narrow
medullary
canal
.
As
this
might
result
in
poor
bone
regeneration
,
thinner
lengthening
nails
should
be
considered
.
Diseases
Validation
Diseases presenting
"bone regeneration"
symptom
achondroplasia
papillon-lefèvre syndrome
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