OBJECTIVES The purpose of this study was to compare the results and complications of tibial lengthening over an intramedullary nail with treatment using the traditional Ilizarov method. METHODS In this matched case study, 16 adult patients underwent 19 tibial lengthening over nails (LON) procedures. For the matched case group, 17 patients who underwent 19 Ilizarov tibial lengthenings were ret...

Lengthening of a double-looped tendon graft construct used to reconstruct the anterior cruciate ligament (ACL) can result in an increase in anterior knee laxity and affect the stability of the reconstructed knee. Three possible regions where lengthening of the construct can occur are (1) the region of the tibial fixation, (2) the region of the femoral fixation, and (3) the region of the graft b...

BACKGROUND Ankle arthrodesis may be achieved using the Ilizarov method. Comorbidities, such as diabetes, Charcot neuroarthropathy, osteomyelitis, leg length discrepancy, and smoking, can make an ankle fusion complex and may be associated with lower rates of healing. QUESTIONS/PURPOSES We asked if (1) smoking and other comorbidities led to lower fusion rates, (2) time wearing the frame affecte...

We compared the complications and outcome of tibial lengthening using the Ilizarov method with and without the use of a supplementary intramedullary nail. In a retrospective case-matched series assembled from 176 patients with tibial lengthening, we matched 52 patients (26 pairs, group A with nail and group B without) according to the following criteria in order of importance: 1) difference in ...

Twenty-four patients treated for tibial shortening secondary to poliomyelitis were reviewed at least 20 years after operation. All subjects were active and only one expressed doubt about the value of tibial lengthening, considering the period of hospitalisation to have been a significant drawback. Approximately five centimetres were added to the length of the treated tibiae. Only one of the nin...

Tibial malunions, which result in deformities such shortening, lengthening, aberrant rotation, or angulation, are characterised by the healing of tibial fractures an unacceptably abnormal alignment These can have adverse effects on patients, as pain and gait disturbance, well long term development post-traumatic arthritis. Treatment options included osteotomies, plate screws, intramedullary nai...

We performed this systematic review to evaluate tibial lengthening procedures with the use of an intramedullary nail. We investigated the hypothesis that lengthening over a nail can reduce the time spent in an external fixator and increase the rate of consolidation thereby reducing the risk of complications and improving patient satisfaction. We conducted a comprehensive literature search using...

Introduction: Posterior tibial tendon reconstruction frequently involves transfer of the flexor digitorum longus (FDL) tendon to the navicular and debridement of the diseased portion of the posterior tibial tendon as well as a calcaneal osteotomy and possibly a lateral column lengthening. If the posterior tibial tendon muscle appears to have some contractile property then it is anastamosed to t...