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2015 ; 2015
(ä): 912790
Nephropedia Template TP
gab.com Text
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English Wikipedia
The Accordion Maneuver: A Noninvasive Strategy for Absent or Delayed Callus
Formation in Cases of Limb Lengthening
#MMPMID26557996
Makhdom AM
; Cartaleanu AS
; Rendon JS
; Villemure I
; Hamdy RC
Adv Orthop
2015[]; 2015
(ä): 912790
PMID26557996
show ga
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.