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Mackenzie Meyers

on 4 November 2016

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What this can treat
PRECICE Complications
1 mm/day
muscle growth
Magnetic Bar
To fix something that someone is unhappy about that is not causing a lack of function.

Fingers and toes

Friday, November 4, 2016
Vol XCIII, No. 311
The Limb Lengthening Journals
Bone heals
Recovery process
Children recover faster than adults
Electromagnetic stimulation
Calcium supplements
Limb Lengthening Complications
HIGH rate of complications, including:
Pin site and intramedullary infections
Poor regenerate delayed consolidation
Premature consolidation
Muscle contracture/joint stiffness
Peripheral nerve damage
Peroneal Nerve Decompression
Peroneal Nerve Damage
The Femur
What this can treat
A genetic disorder or from an incident



Growth plates not functioning

Gavriil A. Ilizarov developed the concept in 1951 after seeing many WWII veterans who had leg fractures that had not healed.

Created apparatus to help put compression on the fracture to help stimulate bone healing

Turning the mechanism the wrong way caused seperation of the bones.

Go through special series of x-rays

To confirm that it is due to a limb issue and is not actually an entirely different medical problem

Safe and effective in both children and adults

In pediatrics:
Avoid injuring the growth plate

Both normal growth and distraction osteogenesis continues during recovery

Muscle Contracture/Joint Stiffness
Limb lengthening does not always match intended results
Thickness of soft tissue surrounding thigh
Magnetic field can only cross a distance of 51 mm

Holes drilled
Guidewire inserted
Canal drilled in bone marrow
Rotational markers
Precise nail into greater trochanter
Locking screws
Just remember with the Anatomy test on Monday...
or 25 points...
Innervation of The Femur
Innervation of the Tibia and Fibula
Simpson, A. H., Halliday, J., Hamilton, D. F., Smith, M., & Mills, K. (2013). Limb lengthening and peripheral nerve function—factors associated with deterioration of conduction. Acta Orthopaedica, 84(6), 579-584. doi:10.3109/17453674.2013.859418
Nogueira, M. P., MD, Paley, D., MD, Bhave, A., PT, Herbert, A., MD, Nocente, C., PhD, & Herzenberg, J. E., MD. (2003, August). Nerve Lesions Associated with Limb-Lengthening. The Journal of Bone and Joint Surgery, 85-A(8), 1502-1510.
Chilbule SK, Dutt V, Madhuri V. Limb lengthening in achondroplasia. Indian J Orthop 2016;50:397-405.
The Deep Fibular Nerve. (2016). Retrieved October 27, 2016, from http://teachmeanatomy.info/lower-limb/nerves/deep-fibular/
Peroneal Nerve Decompression for Deformity Correction and ... (2012, January 12). Retrieved October 27, 2016, from http://www.orthopaedicsone.com/display/Main/Peroneal Nerve Decompression for Deformity Correction and Limb Lengthening
Schiedel, F. M., Vogt, B., Tretow, H. L., Schuhknecht, B., Gosheger, G., Horter, M. J., & Rödl, R. (2014). How precise is the PRECICE compared to the ISKD in intramedullary limb lengthening? Acta Orthopaedica, 85(3), 293-298. doi:10.3109/17453674.2014.913955
Singh, N., Kulkarni, M., Kulkarni, V., Kulkarni, R., Kulkarni, G., & Kulkarni, S. (2012). Limb lengthening over plate. Indian Journal of Orthopaedics, 46(3), 339. doi:10.4103/0019-5413.96378

Do broken bones heal stronger than before the injury? - Quora. (n.d.). Retrieved November 2, 2016, from https://www.quora.com/Do-broken-bones-heal-stronger-than-before-the-injury

The Tibia and Fibula
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