Limb Lengthening with a Submuscular Locking Plate.
case_series · Level IV
Where this comes from
- Record sourced from PubMed, PMID 30881755.
- Also identified by DOI 10.2106/JBJS.ST.M.00041 and PMC identifier 6407959.
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Abstract
Limb-lengthening with a submuscular locking plate provides a good alternative for patients, especially children, in whom lengthening over an intramedullary nail would be difficult<b>.</b> The first operation is divided into two steps, submuscular plating and external fixation with corticotomy; due to the anatomical characteristics, the procedures differ in the tibia and femur. Start distraction at seven to ten days after surgery and continue until the target length is achieved. When the target length has been achieved, place screws into the distal segment through plate holes and remove the fixator. Start with partial weight-bearing, obtain a radiograph every four to eight weeks, and allow full weight-bearing with crutches when osseous consolidation is observed. We prospectively performed limb lengthening using an external fixator and a submuscular locking plate in ten patients<sup>16</sup>.IndicationsContraindicationsPitfalls & Challenges.