Related Experiment Videos
Femoral lengthening by the Wagner method
R Guarniero1, T E Barros Júnior
1Department of Orthopedics and Traumatology, School of Medicine, University of Sao Paulo, Brazil.
Clinical Orthopaedics and Related Research
|January 1, 1990
Summary
Femoral lengthening using the Wagner technique had a high complication rate, primarily due to osteosynthesis issues. Alternative treatments for leg length inequality offer lower morbidity.
Area of Science:
- Orthopedic surgery
- Limb reconstruction
Background:
- Limb lengthening procedures can achieve excellent outcomes but carry risks of serious complications.
- The Wagner technique for femoral lengthening involves multiple stages and potential challenges.
Purpose of the Study:
- To evaluate the complications and technical issues associated with the Wagner technique for femoral lengthening.
- To assess the outcomes of femoral lengthening procedures performed between 1981 and 1987.
Main Methods:
- Retrospective review of 38 femoral lengthening procedures in 37 patients using the Wagner technique.
- Analysis of complications, focusing on osteosynthesis-related issues (plates and screws).
Main Results:
- Only 18 out of 38 procedures were uncomplicated.
- The primary complication involved osteosynthesis, with six broken plates and eight pin-tract infections (two deep).
- Good results were achieved in 28 procedures despite complications.
Conclusions:
- The Wagner technique for femoral lengthening is associated with a significant complication rate, particularly concerning hardware failure and infections.
- Individual patient evaluation is crucial for selecting appropriate treatment for leg length inequality, considering options like limb shortening or epiphysiodesis for lower morbidity.