+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Cost Comparison of Femoral Distraction Osteogenesis With External Lengthening Over a Nail Versus Internal Magnetic Lengthening Nail

Cost Comparison of Femoral Distraction Osteogenesis With External Lengthening Over a Nail Versus Internal Magnetic Lengthening Nail

Journal of the American Academy of Orthopaedic Surgeons 27(9): E430

Femoral lengthening is performed by distraction osteogenesis via lengthening over a nail (LON) or by using a magnetic lengthening nail (MLN). MLN avoids the complications of external fixation while providing accurate and easily controlled lengthening. However, the increased cost of implants has led many to question whether MLN is cost-effective compared with LON. A retrospective review was performed comparing consecutive femoral lengthenings using either LON (n = 19) or MLN (n = 39). The number of surgical procedures, time to union, and amount of lengthening were compared. Cost analysis was performed using both hospital and surgeon payments. Costs were adjusted for inflation using the Consumer Price Index. No difference was observed in the length of femoral distraction. Patients treated with MLN underwent fewer surgeries (3.1 versus 2.1; P < 0.001) and had a shorter time to union (136.7 versus 100.2 days; P = 0.001). Total costs were similar ($50,255 versus $44,449; P = 0.482), although surgeon fees were lower for MLN ($4,324 versus $2,769; P < 0.001). Although implants are more expensive for MLN than LON, this appears to be offset by fewer procedures. Overall, the two procedures had similar total costs, but MLN was associated with a decreased number of procedures and shorter time to union. III.

Please choose payment method:

(PDF emailed within 0-6 h: $19.90)

Accession: 065741746

Download citation: RISBibTeXText

PMID: 30278015

DOI: 10.5435/jaaos-d-17-00741

Related references

A Comparison of Femoral Lengthening Methods Favors the Magnetic Internal Lengthening Nail When Compared with Lengthening Over a Nail. Hss Journal 14(2): 166-176, 2018

Retrograde magnetic internal lengthening nail for acute femoral deformity correction and limb lengthening. Expert Review of Medical Devices 14(10): 811-820, 2017

Outcomes following femoral lengthening: An initial comparison of the Precice intramedullary lengthening nail and the LRS external fixator monorail system. Bone and Joint Journal 98-B(10): 1382-1388, 2016

Femoral lengthening with lengthening over a nail has fewer complications than intramedullary skeletal kinetic distraction. Clinical Orthopaedics and Related Research 470(4): 1221-1231, 2012

Lengthening and deformity correction about the knee using a magnetic internal lengthening nail. Sicot-J3:25, 2017

Femoral lengthening over an intramedullary nail. A matched-case comparison with Ilizarov femoral lengthening. Journal of Bone and Joint Surgery. American Volume 79(10): 1464-1480, 1997

Lengthening With Monolateral External Fixation Versus Magnetically Motorized Intramedullary Nail in Congenital Femoral Deficiency. Journal of Pediatric Orthopedics 2017:, 2017

Lengthening in Congenital Femoral Deficiency: A Comparison of Circular External Fixation and a Motorized Intramedullary Nail. Journal of Bone and Joint Surgery. American Volume 97(17): 1432-1440, 2015

Femoral lengthening and deformity correction using the Fitbone motorized lengthening nail. Journal of Orthopaedic Science 20(1): 149-154, 2015

Low-intensity pulsed ultrasound enhances callus consolidation in distraction osteogenesis of the tibia by the technique of lengthening over the nail procedure. Bmc Musculoskeletal Disorders 20(1): 108, 2019

Femoral lengthening over an intramedullary nail using the external fixator. Acta Orthopaedica 76(2): 245-252, 2005

Results of femoral lengthening over an intramedullary nail and external fixator. Chirurgia Narzadow Ruchu i Ortopedia Polska 73(3): 177-183, 2008

Humerus Lengthening With the PRECICE Internal Lengthening Nail. Journal of Pediatric Orthopedics 37(4): E296, 2017

Humeral Lengthening with the PRECICE Magnetic Lengthening Nail. Hss Journal 13(3): 217-223, 2017

Comparison between lengthening over nail and conventional Ilizarov lengthening: a prospective randomized clinical study. Strategies in Trauma and Limb Reconstruction 8(2): 97-101, 2013