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  • Title: One-stage lengthening and derotational osteotomy of the femur stabilised with a gamma nail.
    Author: van Doorn R, Leemans R, Stapert JW.
    Journal: Eur J Surg; 1999 Dec; 165(12):1142-6. PubMed ID: 10636547.
    Abstract:
    OBJECTIVES: To study the results of a one-stage lengthening and derotational osteotomy stabilised with a Gamma nail. DESIGN: Retrospective study. SETTING: 2 hospitals, The Netherlands. PATIENTS: 5 patients after failed osteosynthesis of femoral fractures. INTERVENTIONS: Mean lengthening of 3 cm and derotation of 30 degrees. MAIN OUTCOME MEASURES: Complications and functional results, after a mean follow-up of 43 months (range 30-57). RESULTS: Two patients required dynamisation and a cancellous bone graft to achieve union, which resulted in 1 and 1.5 cm loss of length. One patient had a temporary peroneal neurapraxy. No infections were observed. CONCLUSIONS: Our method is not an ultimate solution, but is suitable for one-stage lengthening and derotation osteotomies.
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