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Behandlingsprincipper ved rekonstruktioner, forlængelser og opretninger i underekstremiteterne

Ulrik Kähler Olesen1, Tobias Nygaard1, Søren V. Kold2 & Adam Hede1 1) Copenhagen Limb Lengthening and Bone Reconstruction Unit, Ortopædkirurgisk Klinik U, Rigshospitalet 2) Rekonstruktionssektoren, Ortopædkirurgisk Afdeling, Aalborg Universitetshospital Ugeskr Læger 2017;179:V01170024
Ugeskr Læger 2017;179:V01170024
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Treatment principles in bone reconstruction and limb lengthening of the lower extremity
Limb length discrepancies, axis deviations and bone loss on a congenital, traumatic or infectious basis are treated with restoration of axis and bone elongation. The intention is to improve gait and function, to relieve pain caused by imbalance in the musculoskeletal system and to prevent degenerative joint disease. Modern motorized intramedullary nails spare the patients for external fixators, and thus complications are being reduced. X-ray, CT-based planning and a thorough clinical examination is essential for a good result. Complications are frequent, and treatment can be lengthy. Modern techniques have made treatment more gentle and allow a normal daily life during treatment and rehabilitation.

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