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The Accordion Maneuver: A Noninvasive Strategy for Absent or Delayed Callus Formation in Cases of Limb Lengthening
Joint Authors
Hamdy, Reggie C.
Cartaleanu, Adrian Sever
Rendon, Juan Sebastian
Villemure, Isabelle
Makhdom, Asim M.
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-10-19
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
The distraction osteogenesis (DO) technique has been used worldwide to treat many orthopaedic conditions.
Although successful, absent or delayed callus formation in the distraction gap can lead to significant morbidities.
An alternate cycle of distraction-compression (accordion maneuver) is one approach to accelerate bone regeneration.
The primary aim of our study is to report our experience with the accordion maneuver during DO and to provide a detailed description of this technique, as performed in our center.
The secondary aim is to present a review of the literature regarding the use of accordion maneuver.
We reviewed the database of all patients undergoing limb lengthening from the year of 1997 to 2012.
Four patients (6.15%) out of 65 showed poor bone regenerate in their tibiae and therefore accordion maneuver was applied for a mean of 6.75 weeks.
Of these, three patients have had successful outcome with this technique.
The literature showed that this technique is successful approach to trigger bone healing.
However, details of how and when to apply this combination of distraction-compression forces were lacking.
In conclusion, the accordion technique is safe noninvasive approach to promote bone formation, thus avoiding more invasive surgical procedures in cases of poor callus formation in limb lengthening.
American Psychological Association (APA)
Makhdom, Asim M.& Cartaleanu, Adrian Sever& Rendon, Juan Sebastian& Villemure, Isabelle& Hamdy, Reggie C.. 2015. The Accordion Maneuver: A Noninvasive Strategy for Absent or Delayed Callus Formation in Cases of Limb Lengthening. Advances in Orthopedics،Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1053824
Modern Language Association (MLA)
Makhdom, Asim M.…[et al.]. The Accordion Maneuver: A Noninvasive Strategy for Absent or Delayed Callus Formation in Cases of Limb Lengthening. Advances in Orthopedics No. 2015 (2015), pp.1-8.
https://search.emarefa.net/detail/BIM-1053824
American Medical Association (AMA)
Makhdom, Asim M.& Cartaleanu, Adrian Sever& Rendon, Juan Sebastian& Villemure, Isabelle& Hamdy, Reggie C.. The Accordion Maneuver: A Noninvasive Strategy for Absent or Delayed Callus Formation in Cases of Limb Lengthening. Advances in Orthopedics. 2015. Vol. 2015, no. 2015, pp.1-8.
https://search.emarefa.net/detail/BIM-1053824
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1053824