Lengthening over the nail, also known as an intramedullary skeletal kinetic distractor, involves the insertion of an intramedullary nail into the bone, along with an external fixator device. The nail provides stability, while the fixator allows for controlled mechanical distraction of the bone segments. This method reduces the duration of external fixation, improving patient comfort and reducing complications. Careful follow-up and guided rehabilitation ensure optimal bone regeneration and functional outcomes.
Benefits of
Procedure
1
Enhanced Stability
Combining an intramedullary nail with an external fixator provides increased stability during the lengthening process, reducing the risk of complications such as malalignment or fracture.
2
Reduced Soft Tissue Trauma
Lengthening over nail minimizes disruption to surrounding soft tissues compared to external fixator-only techniques, leading to faster recovery and improved patient comfort.
3
Accelerated Rehabilitation
The inherent stability provided by the intramedullary nail allows for early weight-bearing and mobilization, resulting in quicker rehabilitation and return to functional activities.
Device Monitoring
Regular assessment of the external fixator and intramedullary nail is essential to ensure proper alignment and function throughout the lengthening process.
Rehabilitation Protocol
Physical therapy focuses on promoting early mobilization, restoring joint range of motion, and strengthening muscles to optimize functional outcomes.
Long-term Evaluation
Patients require ongoing follow-up with their healthcare provider to monitor bone healing, limb alignment, and functional recovery, with adjustments to the rehabilitation program as needed.