Pain levels during distraction osteogenesis with lengthening nails in 168 cases.
prospective_cohort · Level II
Where this comes from
- Record sourced from PubMed, PMID 35476026.
- Also identified by DOI 10.1007/s00590-022-03266-3 and PMC identifier 10125921.
- Licence recorded as CC BY.
- The licence permits redistribution, so the abstract is shown in full and the full text is available from the publisher.
Abstract
To firstly examine the pain levels during distraction osteogenesis (DO) with lengthening nails (LN) in a large sample. A total of 168 cases underwent DO of the tibia or femur with five different models of LN. Under a standardized medical regime, daily pain levels were noted as nominal rating scale (NRS) score (0-10) during the distraction phase. NRS scores and several potential influence factors (LN model, bone, approach, side, age, gender) were evaluated. The mean distraction length was 39.1 ± 14.4 mm. The average NRS score decreased from postoperative day 1 with 2.84 nonlinearly by 1.03 points (36.3%) over the course of 62 days to an average score of 1.81. The mean decrease during the first thirty days was 0.67(23.6%). Subgroup analysis did not reveal any influence factors. Pain levels during the distraction phase are overall low, continuously decreasing, and well manageable with mostly non-opioid analgesics.
Medical subject headings
- Osteogenesis, Distraction
Anatomy
- tibia
- femur