Complications of distraction osteogenesis: a changing pattern

Harry C Brownlow, Hamish Simpson

Research output: Contribution to journalArticlepeer-review

Abstract / Description of output

We reviewed Mr. Simpson's first 80 consecutive limb-lengthening procedures, using either a circular or a unilateral frame, and analyzed the complication rates. The initially high complication rate (100%) decreased significantly (P < .01) with experience. Incidence of axial deviation was reduced by changing the configuration of the fixators; delayed consolidations and fractures were reduced by prophylactic bone-grafting and by minimizing the associated complication of muscle contractures; severe pin-track infection was reduced by introducing a simple protocol; and muscle contractures and joint subluxation were reduced by adjusting the bone screw insertion sites and ensuring adequate early analgesia to allow early movement.

Original languageEnglish
Pages (from-to)31-6
Number of pages6
JournalAmerican Journal of Orthopedics (Belle Mead, N.J.)
Issue number1
Publication statusPublished - Jan 2002

Keywords / Materials (for Non-textual outputs)

  • Adolescent
  • Adult
  • Child
  • Child, Preschool
  • Female
  • Humans
  • Incidence
  • Male
  • Osteogenesis, Distraction
  • Postoperative Complications
  • Severity of Illness Index


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