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Complications of bone lengthening
J D Aquerreta1, F Forriol, J Cañadell
1Department of Orthopaedic Surgery, School of Medicine, University of Navarra, Pamplona, Spain.
International Orthopaedics
|October 1, 1994
Summary
Complications in bone lengthening surgery are frequent, with callus and joint issues being most common. Severe complications requiring treatment halt are rare, but asymmetrical lengthening increases risks.
Area of Science:
- Orthopedic Surgery
- Regenerative Medicine
- Biomechanical Engineering
Background:
- Bone lengthening is a complex surgical procedure demanding precision and patient adherence.
- Lack of standardized criteria hinders complication classification and comparison across studies.
Purpose of the Study:
- To prospectively analyze and classify complications in bone lengthening procedures.
- To identify the incidence and types of complications associated with bone lengthening.
Main Methods:
- Prospective study of 61 patients undergoing bone lengthening.
- Detailed recording and classification of all complications encountered during treatment.
Main Results:
- Callus disorders (45%) and joint complications (33%) were the most frequent issues.
- Overall complication rate was 2.1 per lengthening process; severe complications occurred in 1.8%.
- Asymmetrical lengthening procedures showed over double the complication rate compared to symmetrical ones.
Conclusions:
- Bone lengthening complications are common, primarily involving the lengthening callus and joints.
- Careful patient selection and procedural technique are crucial for minimizing risks.
- Addressing the etiology of length discrepancy is vital for managing complications effectively.