| ORIGINAL ARTICLE |
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| Year : 2022 | Volume
: 8
| Issue : 1 | Page : 63-66 |
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Can a checklist protocol improve limb lengthening?
Monica Paschoal Nogueira, João Pedro Osseti Felicio Silva, Ana Maria Ferreira Paccola, Sandra Meire Prado
Department of Orthopaedics, Pediatric Orthopaedic and Reconstruction Unit, State Hospital of São Paulo, São Paulo, Brazil
Correspondence Address:
Monica Paschoal Nogueira
Assistant Professor, Department of Orthopaedics, Pediatric Orthopaedic and Reconstruction Unit, State Hospital of São Paulo, São Paulo
Brazil
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/jllr.jllr_43_21
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Background: In recent years, hexapodal external fixators and telescopic nails have improved the accuracy of limb lengthening and correction of deformities. However, careful follow-up in the postoperative period is extremely important; complications are still frequent and directly interfere with patient's outcome. Aims and Objectives: We have developed a follow-up limb lengthening reconstruction checklist. Materials and Methods: Like a flight checklist, professionals systematically record relevant data in every postoperative visit, to improve clinical management during distraction and consolidating phases. Results: LLR-Checklist was used in 53 consecutive patients, from 2006 to 2020. Average age was 11 (2-45) years. A pattern was found in the 18 patients with fibular hemimelia in relation to the use of antibiotics. Superficial infection was common. 21% of patients had delayed ossification in the regenerate. 25% of patients had nerve injuries; 9,4% of them had nerve decompression, all had total recovery. Contractures and pain improved with physical therapy. Conclusion: This checklist can improve quality in the treatment and is a valuable teaching tool for young practitioners.
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